Fill in this information to identify your case:
United States Bankruptcy Court for the:
EASTERN DISTRICT OF WASHINGTON
Case number (if known) Chapter 11 Check if this an amended filing
Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 04/20 If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write the debtor's name and the case number (if known). For more information, a separate document, Instructions for Bankruptcy Forms for Non-Individuals, is available.
1. Debtor's name King Mountain Tobacco Company, Inc.
2. All other names debtor used in the last 8 years Include any assumed names, trade names and doing business as names
3. Debtor's federal Employer Identification 20-3874581 Number (EIN)
4. Debtor's address Principal place of business Mailing address, if different from principal place of business
2000 Fort Simcoe Road PO Box 422 White Swan, WA 98952 White Swan, WA 98952-0422 Number, Street, City, State & ZIP Code P.O. Box, Number, Street, City, State & ZIP Code
Yakima Location of principal assets, if different from principal County place of business
Number, Street, City, State & ZIP Code
5. Debtor's website (URL) www.kingmountaintobacco.com
6. Type of debtor Corporation (including Limited Liability Company (LLC) and Limited Liability Partnership (LLP)) Partnership (excluding LLP) Other. Specify:
Official Form 20120-01808-WLH11 Voluntary Doc 1 Petition Filed for Non-Individuals09/25/20 EnteredFiling for Bankruptcy 09/25/20 16:56:39 Pg 1 of 82 page 1 Debtor King Mountain Tobacco Company, Inc. Case number (if known) Name
7. Describe debtor's business A. Check one: Health Care Business (as defined in 11 U.S.C. § 101(27A)) Single Asset Real Estate (as defined in 11 U.S.C. § 101(51B)) Railroad (as defined in 11 U.S.C. § 101(44)) Stockbroker (as defined in 11 U.S.C. § 101(53A)) Commodity Broker (as defined in 11 U.S.C. § 101(6)) Clearing Bank (as defined in 11 U.S.C. § 781(3)) None of the above
B. Check all that apply Tax-exempt entity (as described in 26 U.S.C. §501) Investment company, including hedge fund or pooled investment vehicle (as defined in 15 U.S.C. §80a-3) Investment advisor (as defined in 15 U.S.C. §80b-2(a)(11))
C. NAICS (North American Industry Classification System) 4-digit code that best describes debtor. See http://www.uscourts.gov/four-digit-national-association-naics-codes. 3122
8. Under which chapter of the Check one: Bankruptcy Code is the Chapter 7 debtor filing? Chapter 9 A debtor who is a “small Chapter 11. Check all that apply: business debtor” must check the first sub-box. A debtor as The debtor is a small business debtor as defined in 11 U.S.C. § 101(51D), and its aggregate defined in § 1182(1) who noncontingent liquidated debts (excluding debts owed to insiders or affiliates) are less than elects to proceed under $2,725,625. If this sub-box is selected, attach the most recent balance sheet, statement of subchapter V of chapter 11 operations, cash-flow statement, and federal income tax return or if any of these documents do not (whether or not the debtor is a exist, follow the procedure in 11 U.S.C. § 1116(1)(B). “small business debtor”) must The debtor is a debtor as defined in 11 U.S.C. § 1182(1), its aggregate noncontingent liquidated check the second sub-box. debts (excluding debts owed to insiders or affiliates) are less than $7,500,000, and it chooses to proceed under Subchapter V of Chapter 11. If this sub-box is selected, attach the most recent balance sheet, statement of operations, cash-flow statement, and federal income tax return, or if any of these documents do not exist, follow the procedure in 11 U.S.C. § 1116(1)(B). A plan is being filed with this petition. Acceptances of the plan were solicited prepetition from one or more classes of creditors, in accordance with 11 U.S.C. § 1126(b). The debtor is required to file periodic reports (for example, 10K and 10Q) with the Securities and Exchange Commission according to § 13 or 15(d) of the Securities Exchange Act of 1934. File the Attachment to Voluntary Petition for Non-Individuals Filing for Bankruptcy under Chapter 11 (Official Form 201A) with this form. The debtor is a shell company as defined in the Securities Exchange Act of 1934 Rule 12b-2. Chapter 12
9. Were prior bankruptcy No. cases filed by or against the debtor within the last 8 Yes. years? If more than 2 cases, attach a separate list. District When Case number District When Case number
10. Are any bankruptcy cases No pending or being filed by a business partner or an Yes. affiliate of the debtor? List all cases. If more than 1, attach a separate list Debtor Relationship District When Case number, if known
Official Form 20120-01808-WLH11 Voluntary Doc 1 Petition Filed for Non-Individuals09/25/20 EnteredFiling for Bankruptcy 09/25/20 16:56:39 Pg 2 of 82 page 2 Debtor King Mountain Tobacco Company, Inc. Case number (if known) Name
11. Why is the case filed in Check all that apply: this district? Debtor has had its domicile, principal place of business, or principal assets in this district for 180 days immediately preceding the date of this petition or for a longer part of such 180 days than in any other district. A bankruptcy case concerning debtor's affiliate, general partner, or partnership is pending in this district.
12. Does the debtor own or No have possession of any Answer below for each property that needs immediate attention. Attach additional sheets if needed. real property or personal Yes. property that needs immediate attention? Why does the property need immediate attention? (Check all that apply.) It poses or is alleged to pose a threat of imminent and identifiable hazard to public health or safety. What is the hazard? It needs to be physically secured or protected from the weather. It includes perishable goods or assets that could quickly deteriorate or lose value without attention (for example, livestock, seasonal goods, meat, dairy, produce, or securities-related assets or other options). Other Where is the property? Number, Street, City, State & ZIP Code Is the property insured? No Yes. Insurance agency Contact name Phone
Statistical and administrative information
13. Debtor's estimation of . Check one: available funds Funds will be available for distribution to unsecured creditors. After any administrative expenses are paid, no funds will be available to unsecured creditors.
14. Estimated number of 1-49 1,000-5,000 25,001-50,000 creditors 50-99 5001-10,000 50,001-100,000 100-199 10,001-25,000 More than100,000 200-999
15. Estimated Assets $0 - $50,000 $1,000,001 - $10 million $500,000,001 - $1 billion $50,001 - $100,000 $10,000,001 - $50 million $1,000,000,001 - $10 billion $100,001 - $500,000 $50,000,001 - $100 million $10,000,000,001 - $50 billion $500,001 - $1 million $100,000,001 - $500 million More than $50 billion
16. Estimated liabilities $0 - $50,000 $1,000,001 - $10 million $500,000,001 - $1 billion $50,001 - $100,000 $10,000,001 - $50 million $1,000,000,001 - $10 billion $100,001 - $500,000 $50,000,001 - $100 million $10,000,000,001 - $50 billion $500,001 - $1 million $100,000,001 - $500 million More than $50 billion
Official Form 20120-01808-WLH11 Voluntary Doc 1 Petition Filed for Non-Individuals09/25/20 EnteredFiling for Bankruptcy 09/25/20 16:56:39 Pg 3 of 82 page 3 Debtor King Mountain Tobacco Company, Inc. Case number (if known) Name
Request for Relief, Declaration, and Signatures
WARNING -- Bankruptcy fraud is a serious crime. Making a false statement in connection with a bankruptcy case can result in fines up to $500,000 or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571.
17. Declaration and signature of authorized The debtor requests relief in accordance with the chapter of title 11, United States Code, specified in this petition. representative of debtor I have been authorized to file this petition on behalf of the debtor.
I have examined the information in this petition and have a reasonable belief that the information is true and correct.
I declare under penalty of perjury that the foregoing is true and correct.
Executed on September 25, 2020 MM / DD / YYYY
X /s/ Truman J. Thompson Truman J. Thompson Signature of authorized representative of debtor Printed name
Vice President and Chief Executive Title Officer
18. Signature of attorney X /s/ James L. Day Date September 25, 2020 Signature of attorney for debtor MM / DD / YYYY
James L. Day Printed name
Bush Kornfeld LLP Firm name
601 Union St., Suite 5000 Seattle, WA 98101-2373 Number, Street, City, State & ZIP Code
Contact phone (206) 292-2110 Email address [email protected]
WSBA 20474 WA Bar number and State
Official Form 20120-01808-WLH11 Voluntary Doc 1 Petition Filed for Non-Individuals09/25/20 EnteredFiling for Bankruptcy 09/25/20 16:56:39 Pg 4 of 82 page 4 Fill in this information to identify the case:
Debtor name King Mountain Tobacco Company, Inc.
United States Bankruptcy Court for the: EASTERN DISTRICT OF WASHINGTON
Case number (if known) Check if this is an amended filing
Official Form 202 Declaration Under Penalty of Perjury for Non-Individual Debtors 12/15
An individual who is authorized to act on behalf of a non-individual debtor, such as a corporation or partnership, must sign and submit this form for the schedules of assets and liabilities, any other document that requires a declaration that is not included in the document, and any amendments of those documents. This form must state the individual’s position or relationship to the debtor, the identity of the document, and the date. Bankruptcy Rules 1008 and 9011.
WARNING -- Bankruptcy fraud is a serious crime. Making a false statement, concealing property, or obtaining money or property by fraud in connection with a bankruptcy case can result in fines up to $500,000 or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571.
Declaration and signature
I am the president, another officer, or an authorized agent of the corporation; a member or an authorized agent of the partnership; or another individual serving as a representative of the debtor in this case.
I have examined the information in the documents checked below and I have a reasonable belief that the information is true and correct:
Schedule A/B: Assets–Real and Personal Property (Official Form 206A/B) Schedule D: Creditors Who Have Claims Secured by Property (Official Form 206D) Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 206E/F) Schedule G: Executory Contracts and Unexpired Leases (Official Form 206G) Schedule H: Codebtors (Official Form 206H) Summary of Assets and Liabilities for Non-Individuals (Official Form 206Sum) Amended Schedule Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims and Are Not Insiders (Official Form 204) Other document that requires a declaration
I declare under penalty of perjury that the foregoing is true and correct.
Executed on September 25, 2020 X /s/ Truman J. Thompson Signature of individual signing on behalf of debtor
Truman J. Thompson Printed name
Vice President and Chief Executive Officer Position or relationship to debtor
Official Form 202 Declaration Under Penalty of Perjury for Non-Individual Debtors
Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 5 of 82 Fill in this information to identify the case: Debtor name King Mountain Tobacco Company, Inc. United States Bankruptcy Court for the: EASTERN DISTRICT OF Check if this is an WASHINGTON Case number (if known): amended filing
Official Form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims and Are Not Insiders 12/15
A list of creditors holding the 20 largest unsecured claims must be filed in a Chapter 11 or Chapter 9 case. Include claims which the debtor disputes. Do not include claims by any person or entity who is an insider, as defined in 11 U.S.C. § 101(31). Also, do not include claims by secured creditors, unless the unsecured claim resulting from inadequate collateral value places the creditor among the holders of the 20 largest unsecured claims.
Name of creditor and Name, telephone number Nature of claim Indicate if claim Amount of claim complete mailing address, and email address of (for example, trade is contingent, If the claim is fully unsecured, fill in only unsecured claim amount. If including zip code creditor contact debts, bank loans, unliquidated, or claim is partially secured, fill in total claim amount and deduction for professional services, disputed value of collateral or setoff to calculate unsecured claim. and government Total claim, if Deduction for value Unsecured claim contracts) partially secured of collateral or setoff BIA/NIIMS Lance Lease Expense $5,571.66 13922 Denver West Pkwy Fax: 509-877-3478 Lakewood, CO 509-877-3155 80401 Cascade Valley Automotive $78.69 Lube Uniongap.cascade Services 2506 Main Street valleylube@hotmai Union Gap, WA l.com 98903 509-453-4343 Cintas Corp. Professional $239.95 PO Box 650838 Cintas_services@c Services Dallas, TX intas.com 75265-0838 Department of the Julie Ohradzansky Federal Excise Disputed $75,467,193.24 Treasury Taxes - Alcohol Tobacco Tax & julie.ohradzansky and Tobacco Tax Trade Bureau @ttb.gov and Trade Bureau 550 Main Street, (513) 684-2373 Suite 8002 Cincinnati, OH 45202-5215 Grease Heads Lube Automotive $189.10 and Oil Greaseheadsllc@o Services 310 South Elm utlook.com Street 509-865-7001 Toppenish, WA 98948 Guardian Security Josh Anderson Monitoring Fees $21,225.50 1743 First Avenue South janderson@securit Seattle, WA 98134 ysecurity.com 509-453-4204 H.B. Fuller Ana Pinto Raw Materials $5,972.79 PO Box 842401 Boston, MA Fax: 651-355-9135 02284-2401 651-236-5948
Official form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured claims page 1
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20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 6 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known) Name
Name of creditor and Name, telephone number Nature of claim Indicate if claim Amount of claim complete mailing address, and email address of (for example, trade is contingent, If the claim is fully unsecured, fill in only unsecured claim amount. If including zip code creditor contact debts, bank loans, unliquidated, or claim is partially secured, fill in total claim amount and deduction for professional services, disputed value of collateral or setoff to calculate unsecured claim. and government Total claim, if Deduction for value Unsecured claim contracts) partially secured of collateral or setoff Heritage Bank Terry Osman SBA Paycheck Contingent $814,447.00 PO Box 1578 Protection Olympia, WA 98507 Terry.Osman@Heri Program loan tageBankNW.com 509-834-2704 Internal Revenue Federal Income $483,527.08 Service Taxes, Federal P.O. Box 9941, Stop (800) 829-0115 Unemployment 6552 Taxes, FICA and Ogden, UT Federal 84409-0941 Withholdings, and Civil Penalties ITC Services Alfalfa Supplies $6,609.60 4172 N. Frontage Road E. 509-770-5039 Moses Lake, WA 98837 NC Filter Attn: Bobby Raw $99,818.93 Corporation Johnson Materials-Filters Attn: Bobby Johnson bjohnson@tobacco P.O. Box 498 rag.com Black Creek, NC 252-237-8180 27813 Oak Harbor Freight Shipping $4,533.10 Lines, Inc. [email protected] PO Box 1469 (800) 858-8815 Auburn, WA 98071-1469 Office Solutions Office Supplies $100.97 Northwest Inc. [email protected] PO Box 125 om Yakima, WA 98907 509-453-7181 Rehn & Associates Customer Service Professional $25.00 COBRA Services PO Box 5433 [email protected] Spokane, WA 99205 om (509) 534-0600 State of Indiana Settlement $3,506,121.00 Office of the Fax: (317) 232-6201 Agreement with Attorney General Ph: (317) 232-7979 State of Indiana re 302 W. Washington Case No. St., 5th Fl. 49D10-1211-MI-04 Indianapolis, IN 4539, Marion 46204 County Superior Court
Official form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured claims page 2
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20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 7 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known) Name
Name of creditor and Name, telephone number Nature of claim Indicate if claim Amount of claim complete mailing address, and email address of (for example, trade is contingent, If the claim is fully unsecured, fill in only unsecured claim amount. If including zip code creditor contact debts, bank loans, unliquidated, or claim is partially secured, fill in total claim amount and deduction for professional services, disputed value of collateral or setoff to calculate unsecured claim. and government Total claim, if Deduction for value Unsecured claim contracts) partially secured of collateral or setoff State of South Johnathan B. Settlement $2,520,567.98 Carolina Williams Agreement with Office of the State of South Attorney General Fax: (803) 734-3677 Carolina re Case P.O. Box 11549 Ph: (803) 734-3970 No. Columbia, SC 2011-CP-40-5065, 29211-1549 Richland County Court of Common Pleas U.S. Dep't of Interim Payment $5,614,567.20 Agriculture Plan Agreement re 2323 E. Bannister (202) 720-2791 Judgment in U.S. Rd. District Court, Kansas City, MO E.D. Wash. 64131 U.S. Food and Drug Repayment $2,944,907.48 Administration [email protected] Agreement re P.O. Box 979107 hs.gov Tobacco User Saint Louis, MO (877) 287-1373 Fees 63197-9000 Yakama Nation Lydia Bitsol Tax Stamps $67,500.00 PO Box 151 Toppenish, WA lydia_bitsoi@yaka 98948 ma.com 509-865-5121 Yakama Nation Land Kristin Sampson Lease Expense $176,659.00 Enterprise 282 Buster Road [email protected] Toppenish, WA (509) 865-5121 98948
Official form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured claims page 3
Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 8 of 82 Fill in this information to identify the case:
Debtor name King Mountain Tobacco Company, Inc.
United States Bankruptcy Court for the: EASTERN DISTRICT OF WASHINGTON
Case number (if known) Check if this is an amended filing
Official Form 206Sum Summary of Assets and Liabilities for Non-Individuals 12/15
Part 1: Summary of Assets
1. Schedule A/B: Assets-Real and Personal Property (Official Form 206A/B)
1a. Real property: Copy line 88 from Schedule A/B...... $ 198,333.33
1b. Total personal property: Copy line 91A from Schedule A/B...... $ 28,388,045.66
1c. Total of all property: Copy line 92 from Schedule A/B...... $ 28,586,378.99
Part 2: Summary of Liabilities
2. Schedule D: Creditors Who Have Claims Secured by Property (Official Form 206D) Copy the total dollar amount listed in Column A, Amount of claim, from line 3 of Schedule D...... $ 0.00
3. Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 206E/F)
3a. Total claim amounts of priority unsecured claims: Copy the total claims from Part 1 from line 5a of Schedule E/F...... $ 69,329.21
3b. Total amount of claims of nonpriority amount of unsecured claims: Copy the total of the amount of claims from Part 2 from line 5b of Schedule E/F...... +$ 92,356,000.30
4. Total liabilities ...... Lines 2 + 3a + 3b $ 92,425,329.51
Official Form 206Sum Summary of Assets and Liabilities for Non-Individuals page 1 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 9 of 82 Fill in this information to identify the case:
Debtor name King Mountain Tobacco Company, Inc.
United States Bankruptcy Court for the: EASTERN DISTRICT OF WASHINGTON
Case number (if known) Check if this is an amended filing
Official Form 206A/B Schedule A/B: Assets - Real and Personal Property 12/15 Disclose all property, real and personal, which the debtor owns or in which the debtor has any other legal, equitable, or future interest. Include all property in which the debtor holds rights and powers exercisable for the debtor's own benefit. Also include assets and properties which have no book value, such as fully depreciated assets or assets that were not capitalized. In Schedule A/B, list any executory contracts or unexpired leases. Also list them on Schedule G: Executory Contracts and Unexpired Leases (Official Form 206G).
Be as complete and accurate as possible. If more space is needed, attach a separate sheet to this form. At the top of any pages added, write the debtor’s name and case number (if known). Also identify the form and line number to which the additional information applies. If an additional sheet is attached, include the amounts from the attachment in the total for the pertinent part.
For Part 1 through Part 11, list each asset under the appropriate category or attach separate supporting schedules, such as a fixed asset schedule or depreciation schedule, that gives the details for each asset in a particular category. List each asset only once. In valuing the debtor’s interest, do not deduct the value of secured claims. See the instructions to understand the terms used in this form. Part 1: Cash and cash equivalents 1. Does the debtor have any cash or cash equivalents?
No. Go to Part 2. Yes Fill in the information below. All cash or cash equivalents owned or controlled by the debtor Current value of debtor's interest 2. Cash on hand $250.00
3. Checking, savings, money market, or financial brokerage accounts (Identify all) Name of institution (bank or brokerage firm) Type of account Last 4 digits of account number Heritage Bank Attn: Terry Osman 2205 S 1st Street 3.1. Yakima, WA 98903 Checking Account 2367 $561,872.48
Truist Bank (Was BB&T) Attn: Susan Fairhurst 223 West Nash Street 3.2. Wilson, NC 27894 Checking Account 0010 $1,017,560.94
Heritage Bank Attn: Terry Osman 2205 S 1st Street 3.3. Yakima, WA 98903 EFT Account 2383 $0.00
Heritage Bank Attn: Terry Osman 2205 S 1st Street 3.4. Yakima, WA 98903 Wire Account 2408 $0.00
Official Form 206A/B Schedule A/B Assets - Real and Personal Property page 1 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 10 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (If known) Name
Truist Bank (Was BB&T) Escrow Accounts for Attn: Susan Fairhurst Qualified Settlement 223 West Nash Street Funds 26 CFR § 3.5. Wilson, NC 27894 1.468B-1: See Attached $0.00
4. Other cash equivalents (Identify all)
5. Total of Part 1. $1,579,683.42 Add lines 2 through 4 (including amounts on any additional sheets). Copy the total to line 80.
Part 2: Deposits and Prepayments 6. Does the debtor have any deposits or prepayments?
No. Go to Part 3. Yes Fill in the information below.
7. Deposits, including security deposits and utility deposits Description, including name of holder of deposit
8. Prepayments, including prepayments on executory contracts, leases, insurance, taxes, and rent Description, including name of holder of prepayment James River Insurance Company 6641 West Broad Street, Suite 300 Richmond, VA 23230 8.1. Policy Nos. 00039025-10 & 00039026-10 $7,350.52
IronShore Indemnity Inc. 175 Berkeley Street Boston, MA 02116 8.2. Policy No. 004253300 $5,278.00
RSUI Group, Inc. 945 East Paces Ferry Rd. Suite 1800 Atlanta, GA 30326-1160 8.3. Policy Nos. PP684340 & HS684355 $10,122.51
Lloyd's America, Inc. 280 Park Avenue East Tower, 25th Floor New York, NY 10017 8.4. UMR No. B1230AP06454A19 $80,588.00
Arch Specialty Insurance Co. 2345 Grand Blvd., Suite 900 Kansas City, MO 64108 8.5. Policy No. ESP1001308-00 $25,950.42
Homeland Insurance Company of New York 1000 Woodbury Road, Suite 403 Woodbury, NY 11797 8.6. Policy No. 795-01-10-88-0000 $14,464.17
8.7. Bush Kornfeld LLP $163,427.56 601 Union Street, Suite 5000
Official Form 206A/B Schedule A/B Assets - Real and Personal Property page 2 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 11 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (If known) Name
Seattle, WA 98101-2373
Northen Blue LLP 1414 Raleigh Road, Suite 435 8.8. Chapel Hill, NC 27517 $50,000.00
Troutman Pepper LLP Troutman Sanders Building 1001 Haxall Point 8.9. Richmond, VA 23219 $100,000.00
Baker & Hostetler LLP 1005 Connecticut Avenue NW 8.10 Suite 100 . Washington, DC 20036 $300,000.00
9. Total of Part 2. $757,181.18 Add lines 7 through 8. Copy the total to line 81.
Part 3: Accounts receivable 10. Does the debtor have any accounts receivable?
No. Go to Part 4. Yes Fill in the information below.
11. Accounts receivable 11a. 90 days old or less: 1,665,367.62 - 0.00 = .... $1,665,367.62 face amount doubtful or uncollectible accounts
11a. 90 days old or less: 1,150.00 - 0.00 = .... $1,150.00 face amount doubtful or uncollectible accounts
11b. Over 90 days old: 4,245,580.95 - 0.00 =.... $4,245,580.95 face amount doubtful or uncollectible accounts
11b. Over 90 days old: 1,521,198.38 - 0.00 =.... $1,521,198.38 face amount doubtful or uncollectible accounts
11b. Over 90 days old: 249,999.72 - 0.00 =.... $249,999.72 face amount doubtful or uncollectible accounts
11b. Over 90 days old: 282,993.20 - 0.00 =.... $282,993.20 face amount doubtful or uncollectible accounts
Official Form 206A/B Schedule A/B Assets - Real and Personal Property page 3 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 12 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (If known) Name
11b. Over 90 days old: 116,705.10 - 116,705.10 =.... $0.00 face amount doubtful or uncollectible accounts
11b. Over 90 days old: 66,917.77 - 0.00 =.... $66,917.77 face amount doubtful or uncollectible accounts
11b. Over 90 days old: 1,968,337.14 - 0.00 =.... $1,968,337.14 face amount doubtful or uncollectible accounts
11b. Over 90 days old: 4,760,351.18 - 0.00 =.... $4,760,351.18 face amount doubtful or uncollectible accounts
12. Total of Part 3. $14,761,895.96 Current value on lines 11a + 11b = line 12. Copy the total to line 82.
Part 4: Investments 13. Does the debtor own any investments?
No. Go to Part 5. Yes Fill in the information below.
Valuation method used Current value of for current value debtor's interest
14. Mutual funds or publicly traded stocks not included in Part 1 Name of fund or stock:
15. Non-publicly traded stock and interests in incorporated and unincorporated businesses, including any interest in an LLC, partnership, or joint venture Name of entity: % of ownership
16. Government bonds, corporate bonds, and other negotiable and non-negotiable instruments not included in Part 1 Describe: Tobacco Bond, Dep't of the Treasury, Alcohol and Tobacco Tax and Trade Bureau; United States Fire 16.1. Insurance Company, Bond No. 615989183 Bond Amount $250,000.00
WA Deferred Wholesale Cigarette Bond; United States Fire 16.2. Insurance Company, Bond No. 615989184 Bond Amount $100,000.00
WA Deferred Wholesale Cigarette Bond; United States Fire 16.3. Insurance Company, Bond No. 615989185 Bond Amount $5,000.00
North Dakota Tobacco Distributor; United States Fire 16.4. Insurance Company, Bond No. 615989366 Bond Amount $1,000.00
Kentucky Non-Participating MFG Bond; United States Fire 16.5. Insurance Company, Bond No. 615989073 Bond Amount $170,000.00
Official Form 206A/B Schedule A/B Assets - Real and Personal Property page 4 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 13 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (If known) Name
Nonparticipating Manufacturer Surety Bond (NV); United 16.6. States Fire Insurance Company, Bond No. 615989278 Bond Amount $50,000.00
Non-Participating Tobacco MFS Corporate Surety Bond (NM); United States Fire Insurance Company, Bond No. 16.7. 615988958 Bond Amount $78,000.00
Oregon Non-Participating MFG Bond; United States Fire 16.8. Insurance Company, Bond No. 615245175 Bond Amount $75,000.00
Non-Participating Tobacco Manufacturer Surety Bond (VA); United States Fire Insurance Company, Bond No. 16.9. 615988959 Bond Amount $50,000.00
17. Total of Part 4. $779,000.00 Add lines 14 through 16. Copy the total to line 83.
Part 5: Inventory, excluding agriculture assets 18. Does the debtor own any inventory (excluding agriculture assets)?
No. Go to Part 6. Yes Fill in the information below.
General description Date of the last Net book value of Valuation method used Current value of physical inventory debtor's interest for current value debtor's interest (Where available)
19. Raw materials Tobacco Inventory 8/31/2020 $1,757,593.97 Actual Cost $1,757,593.97
20. Work in progress Processed Tobacco Inventory 8/31/2020 $111,107.18 Actual Cost $111,107.18
21. Finished goods, including goods held for resale Cigarette Inventory 8/31/2020 $1,423,046.88 Actual Cost $1,423,046.88
Roll-Your-Own (RYO) Inventory 8/31/2020 $2,021.75 Actual Cost $2,021.75
22. Other inventory or supplies Packing/Supplies Inventory 8/31/2020 $463,361.62 Actual Cost $463,361.62
23. Total of Part 5. $3,757,131.40 Add lines 19 through 22. Copy the total to line 84.
24. Is any of the property listed in Part 5 perishable?
Official Form 206A/B Schedule A/B Assets - Real and Personal Property page 5 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 14 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (If known) Name
No Yes
25. Has any of the property listed in Part 5 been purchased within 20 days before the bankruptcy was filed? No Yes. Book value Valuation method Current Value
26. Has any of the property listed in Part 5 been appraised by a professional within the last year? No Yes
Part 6: Farming and fishing-related assets (other than titled motor vehicles and land) 27. Does the debtor own or lease any farming and fishing-related assets (other than titled motor vehicles and land)?
No. Go to Part 7. Yes Fill in the information below.
General description Net book value of Valuation method used Current value of debtor's interest for current value debtor's interest (Where available)
28. Crops-either planted or harvested
29. Farm animals Examples: Livestock, poultry, farm-raised fish
30. Farm machinery and equipment (Other than titled motor vehicles) Equipment (farming): See Attached List $105,407.92 Debtor Estimate $1,210,101.38
31. Farm and fishing supplies, chemicals, and feed
32. Other farming and fishing-related property not already listed in Part 6 Greenhouses $328,743.88 Debtor Estimate $548,278.58
Burley Barns $434,008.39 Debtor Estimate $463,817.60
Kilns $747,111.17 Debtor Estimate $872,029.16
Other Improvements (farming): See Attached List $254,175.15 Debtor Estimate $369,081.49
Irrigation Systems $720,824.71 Debtor Estimate $1,240,397.08
33. Total of Part 6. $4,703,705.29 Add lines 28 through 32. Copy the total to line 85.
34. Is the debtor a member of an agricultural cooperative? No Yes. Is any of the debtor's property stored at the cooperative? No Yes
35. Has any of the property listed in Part 6 been purchased within 20 days before the bankruptcy was filed? No Yes. Book value Valuation method Current Value
Official Form 206A/B Schedule A/B Assets - Real and Personal Property page 6 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 15 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (If known) Name
36. Is a depreciation schedule available for any of the property listed in Part 6? No Yes
37. Has any of the property listed in Part 6 been appraised by a professional within the last year? No Yes
Part 7: Office furniture, fixtures, and equipment; and collectibles 38. Does the debtor own or lease any office furniture, fixtures, equipment, or collectibles?
No. Go to Part 8. Yes Fill in the information below.
General description Net book value of Valuation method used Current value of debtor's interest for current value debtor's interest (Where available)
39. Office furniture Office Furniture and Fixtures $0.00 Debtor Estimate $19,733.10
40. Office fixtures
41. Office equipment, including all computer equipment and communication systems equipment and software Computers and Software $0.00 Debtor Estimate $6,650.00
42. Collectibles Examples: Antiques and figurines; paintings, prints, or other artwork; books, pictures, or other art objects; china and crystal; stamp, coin, or baseball card collections; other collections, memorabilia, or collectibles
43. Total of Part 7. $26,383.10 Add lines 39 through 42. Copy the total to line 86.
44. Is a depreciation schedule available for any of the property listed in Part 7? No Yes
45. Has any of the property listed in Part 7 been appraised by a professional within the last year? No Yes
Part 8: Machinery, equipment, and vehicles 46. Does the debtor own or lease any machinery, equipment, or vehicles?
No. Go to Part 9. Yes Fill in the information below.
General description Net book value of Valuation method used Current value of Include year, make, model, and identification numbers debtor's interest for current value debtor's interest (i.e., VIN, HIN, or N-number) (Where available)
47. Automobiles, vans, trucks, motorcycles, trailers, and titled farm vehicles
47.1. 2007 Dodge Ram 3500 $0.00 Blue Book $8,867.00
47.2. 2008 Dodge Ram 3500 $0.00 Blue Book $11,161.00
Official Form 206A/B Schedule A/B Assets - Real and Personal Property page 7 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 16 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (If known) Name
47.3. 2012 Dodge 4500 $0.00 Blue Book $12,955.00
47.4. 2018 Dodge Ram 1500 $25,902.70 Blue Book $27,656.00
47.5. 2020 Dodge Ram, VIN xxx4336 $54,133.33 Blue Book $44,114.00
47.6. 2020 Dodge Ram, VIN xxx9873 $47,154.80 Blue Book $40,027.00
48. Watercraft, trailers, motors, and related accessories Examples: Boats, trailers, motors, floating homes, personal watercraft, and fishing vessels
49. Aircraft and accessories
50. Other machinery, fixtures, and equipment (excluding farm machinery and equipment) Duel Fuel Steam Boiler System $277,296.81 Debtor Estimate $280,412.50
Equipment (non-farming): See Attached List $157,930.86 Debtor Estimate $519,842.92
Construction in Progress: Filter machine for manufacture of cigarette filters (pending FDA approval). $264,436.88 Actual Cost $264,436.88
Cigarette Maker & Packer Nano-S $813,593.01 Net Book $813,593.01
51. Total of Part 8. $2,023,065.31 Add lines 47 through 50. Copy the total to line 87.
52. Is a depreciation schedule available for any of the property listed in Part 8? No Yes
53. Has any of the property listed in Part 8 been appraised by a professional within the last year? No Yes
Part 9: Real property 54. Does the debtor own or lease any real property?
No. Go to Part 10. Yes Fill in the information below.
55. Any building, other improved real estate, or land which the debtor owns or in which the debtor has an interest
Description and location of Nature and Net book value of Valuation method used Current value of property extent of debtor's interest for current value debtor's interest Include street address or other debtor's interest (Where available) description such as Assessor in property Parcel Number (APN), and type of property (for example, acreage, factory, warehouse, apartment or office building, if available. Official Form 206A/B Schedule A/B Assets - Real and Personal Property page 8 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 17 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (If known) Name
55.1. Land Improvements: Asphalt Paving (Aug. Leasehold 2020) Interest $198,333.33 Net Book $198,333.33
55.2. Real Property Leases: See Attached Leasehold List Interest $0.00 Unknown
56. Total of Part 9. $198,333.33 Add the current value on lines 55.1 through 55.6 and entries from any additional sheets. Copy the total to line 88.
57. Is a depreciation schedule available for any of the property listed in Part 9? No Yes
58. Has any of the property listed in Part 9 been appraised by a professional within the last year? No Yes
Part 10: Intangibles and intellectual property 59. Does the debtor have any interests in intangibles or intellectual property?
No. Go to Part 11. Yes Fill in the information below.
General description Net book value of Valuation method used Current value of debtor's interest for current value debtor's interest (Where available)
60. Patents, copyrights, trademarks, and trade secrets Trademarks, Copyrights and Patents: See Attached List $0.00 Unknown
Brand Labels: See Attached List $0.00 Unknown
61. Internet domain names and websites Internet domain and website: www.kingmountaintobacco.com $0.00 Unknown
Internet domain and website: www.trykingmountaintobacco.com $0.00 Unknown
62. Licenses, franchises, and royalties
63. Customer lists, mailing lists, or other compilations Customer List $0.00 Unknown
64. Other intangibles, or intellectual property
65. Goodwill
Official Form 206A/B Schedule A/B Assets - Real and Personal Property page 9 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 18 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (If known) Name
66. Total of Part 10. $0.00 Add lines 60 through 65. Copy the total to line 89.
67. Do your lists or records include personally identifiable information of customers (as defined in 11 U.S.C.§§ 101(41A) and 107? No Yes
68. Is there an amortization or other similar schedule available for any of the property listed in Part 10? No Yes
69. Has any of the property listed in Part 10 been appraised by a professional within the last year? No Yes
Part 11: All other assets 70. Does the debtor own any other assets that have not yet been reported on this form? Include all interests in executory contracts and unexpired leases not previously reported on this form.
No. Go to Part 12. Yes Fill in the information below.
Current value of debtor's interest
71. Notes receivable Description (include name of obligor)
72. Tax refunds and unused net operating losses (NOLs) Description (for example, federal, state, local)
73. Interests in insurance policies or annuities
74. Causes of action against third parties (whether or not a lawsuit has been filed) King Mountain Tobacco Company, Inc. v. Kamiakin Wheeler, Kanim James, and Lone Warrior Holdings, Inc. Yakima County Superior Court, Case No. 19-2-04309-39 Unknown Nature of claim Complaint for damages, injunctive relief, return of property, and restitution Amount requested $0.00
75. Other contingent and unliquidated claims or causes of action of every nature, including counterclaims of the debtor and rights to set off claims
76. Trusts, equitable or future interests in property
77. Other property of any kind not already listed Examples: Season tickets, country club membership
78. Total of Part 11. $0.00 Add lines 71 through 77. Copy the total to line 90.
79. Has any of the property listed in Part 11 been appraised by a professional within the last year? No Yes
Official Form 206A/B Schedule A/B Assets - Real and Personal Property page 10 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 19 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (If known) Name
Part 12: Summary
In Part 12 copy all of the totals from the earlier parts of the form Type of property Current value of Current value of real personal property property
80. Cash, cash equivalents, and financial assets. Copy line 5, Part 1 $1,579,683.42
81. Deposits and prepayments. Copy line 9, Part 2. $757,181.18
82. Accounts receivable. Copy line 12, Part 3. $14,761,895.96
83. Investments. Copy line 17, Part 4. $779,000.00
84. Inventory. Copy line 23, Part 5. $3,757,131.40
85. Farming and fishing-related assets. Copy line 33, Part 6. $4,703,705.29
86. Office furniture, fixtures, and equipment; and collectibles. Copy line 43, Part 7. $26,383.10
87. Machinery, equipment, and vehicles. Copy line 51, Part 8. $2,023,065.31
88. Real property. Copy line 56, Part 9...... > $198,333.33
89. Intangibles and intellectual property. Copy line 66, Part 10. $0.00
90. All other assets. Copy line 78, Part 11. + $0.00
91. Total. Add lines 80 through 90 for each column $28,388,045.66 + 91b. $198,333.33
92. Total of all property on Schedule A/B. Add lines 91a+91b=92 $28,586,378.99
Official Form 206A/B Schedule A/B Assets - Real and Personal Property page 11 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 20 of 82 In re: King Mountain Tobacco Company, Inc.
Attachment to Schedule A/B: Question #3
di22qf014x 20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 21 of 82
Truist Bank (formerly BB&T) Escrow Accounts for Tobacco Settlement
State Account No. (last 4 digits) Balance Alabama 0029 $742.89 California 0047 $215.47 Colorado 0056 $126.20 Connecticut 0261 $5,248.44 Georgia 0065 $1,004,886.14 Idaho 0074 $2,035,077.92 Indiana 0083 $4,217,901.84 Kansas 0092 $279,642.10 Kentucky 0109 $14,379,787.98 Montana 0118 $3,447,752.26 North Carolina 0154 $14,541,058.45 North Dakota 0243 $8,051.89 New Hampshire 0136 $31.81 New Mexico 0145 $255,492.10 Nevada 0127 $201,501.09 Oregon 0163 $870,141.73 Pennsylvania 0172 $109.74 South Carolina 0181 $5,191,185.60 Commonwealth of Virginia 0234 $35,870.30 Washington 0190 $5,295,992.31 Wyoming 0207 $610.45 Total $51,771,426.71
di22fe012c 20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 22 of 82 In re: King Mountain Tobacco Company, Inc.
Attachment to Schedule A/B: Question #30-Farm Machinery and Equipment
di22qf014x 20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 23 of 82 Schedule A/B, Question # 30‐Farm Machinery & Equipment
2 FORKLIFTS ‐ #2 WHSE Seeder Line 4 row soil conditioner and drip layer 364 plastic bins 4 row finger transplantor 4 bale box Float Trays Propane Tanks 256 Macro Bins 4 row transplanter Harvester Model 50 RL Harvester Model 50 RL 2 leaf removers 6 trailers Swather (BJ Heintzman) Komatsu Forklift 2 Disc Header Case IH 315 Cab MFD Tractor Auto Seeder Line Equipment (BJ Heintzman Seeder Line Tobacco Transplanter 3 Odering Carts‐Standard No Timer 14 ft Northwest Tiller 2013 Miller Nitro Sprayer Krone 1290 Baler Farming Equipment (BJ Heintzman Pelletizer Mower Rock Rake RTK Base and Cable Case Tractor John Deer 6140D 30' Hay Rake Krone 1290 HS STD Baler Hay Rake Case 2303 Windrow Tracto IH 110 A Tractor IH 110 A Tractor Fork & FM 1000 Snow Plow Greenhouse Trays 2 Trailers Equipment for farm Dammerdiker Twin Star Rake #157175 Roller ‐ RDO Equip 2017 Lemken Ruben 12 2017 Harvest Tek Hay Sensor 2017 Harvest Tek Hay Sensor Trailer Station Trailer Station
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 24 of 82 In re: King Mountain Tobacco Company, Inc.
Attachment to Schedule A/B: Question #32-Other Farm Related Property
di22qf014x 20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 25 of 82 Sch A/B, Question #32‐Other Farm Related Property
Fencing at Farm Shop Level Ground for Barns Power Setup‐W Wapato & Shields Power Setup Shields & W Wapato Power Setup‐NS W Wapato W/O Shields Rd Concrete Pads Power set up for 16 Kilns & 20 Burley Barns Wiring 16 kilns & 16 greenhouses Leaf Loading/Bailing System Barns for Farming Pump & Electrical for Linear
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 26 of 82 In re: King Mountain Tobacco Company, Inc.
Attachment to Schedule A/B: Question #50-Equipment Non- Farming
di22qf014x 20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 27 of 82 Schedule A/B, Question 50‐ Equipment‐Non Farming
SECURITY SYSTEM TOYOTA FORKLIFT‐USED W/MONITORS (3) PC‐151 W/MONITORS COMPUTER NETWORK HYTROL CONVEYOR NORTHFACE TOBACCO M FLOOR SCRUBBER POWER LIFT STOCKER TROLLEYS PRODUCTION TRAYS DUST COLLECTION SYS #2 USED FORK LIFT 7FGU25 AIR COMPRESSOR DUST COLLECTION SYS #4 DUST COLLECTION SYS #3 DWN PYMT LARGE AIR CO R E D STAMP MACHINE SERVER & ADDTL COMP H BATTERY RECHARGER PHONE SYSTEM ADDTN LRG POSTER PRNTR BIND & LAMINATE MACH RECLAIMER 2 Forklifts Toyota Forklift 50 HP Compressor Komatsu Forklift Forklift Forklift Spare Parts‐Maker&Packe Dust Collector QBSI Xerox Copy Machine Phone & Fax Install Barcodes Inc Building Security Sodim Korber Quality Con
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 28 of 82 In re: King Mountain Tobacco Company, Inc.
Attachment to Schedule A/B: Question #55-Real Property Leases
di25c9019c 20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 29 of 82 The Debtor is the lessee of the following real property plots. The Debtor leases the below-listed plots from Trina A. Wheeler, its 100% owner. The terms of the leases are year-to-year, and the leases automatically renew each January.
Plot No. 62B 2173 2783 63A 2174 2797 122 2358 2798 124 2516 2922A 128 2517 3104 129 2518 3165 506 2527B 3167 533 2528 3182 534 2530 3189A 539 2531 3240 540 2532 3459A 667 2533B 5016 674 2534 5031 715 2544A 5072 862 2576 5188 863 2578 5482 985 2580A 5499 986 2596A Tribal 998.5 2597 535A 1073 2602A 1693A 1074 2617A 1917B 1419A 2619A 1929A 1477 2621 2750A 1478 2622 2762 1633 2640 2763A 1634 2663 1644 2684 1645 2700 1646 2703 1759 2713 1782 2714 1783 2752 1784 2756 1832 2759A 1854 2762 1942 2763A 2172 2782
di25ce01pb 20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 30 of 82 In re: King Mountain Tobacco Company, Inc.
Attachment to Schedule A/B: Question #60-Brand Labels
di22qf014x 20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 31 of 82 20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 32 of 82 In re: King Mountain Tobacco Company, Inc.
Attachment to Schedule A/B: Question #60-Trademarks, Copyrights and Patents
di24pn0177 20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 33 of 82 Date Generated: September 16, 2020
TM Record Mark/Name Status/Status Date App. No./Reg. No. Full Goods/Services Owner Information US Federal 8 and Design Pending - Initialized SN: 90015670 (Int'l Class: 34) King Mountain Tobacco Q4 June 26, 2020 Tobacco; pipe tobacco; Company, Inc. (United uf 1 tobacco pouches; States Federally- smoking tobacco; Recognized Indian smokeless tobacco; Tribe) chewing tobacco; leaf 2000 Fort Simcoe Road
20-01808-WLH11 Doc1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg34 of82 tobacco; flavored White Swan tobacco; cigarettes Washington 98952
US Federal 81 Pending - Initialized SN: 90015675 (Int'l Class: 34) King Mountain Tobacco Q4 June 26, 2020 Tobacco; pipe tobacco; Company, Inc. (United uf 2 tobacco pouches; States Federally- smoking tobacco; Recognized Indian smokeless tobacco; Tribe) chewing tobacco; leaf 2000 Fort Simcoe Road tobacco; flavored White Swan tobacco; cigarettes Washington 98952
US Federal EIGHTY-ONE Pending - Initialized SN: 90015677 (Int'l Class: 34) King Mountain Tobacco Q4 June 26, 2020 Tobacco; pipe tobacco; Company, Inc. (United uf 3 tobacco pouches; States Federally- smoking tobacco; Recognized Indian smokeless tobacco; Tribe) chewing tobacco; leaf 2000 Fort Simcoe Road tobacco; flavored White Swan tobacco; cigarettes Washington 98952
US Federal KING MOUNTAIN Registered September RN: 4802785 (Int'l Class: 34) King Mountain Tobacco Q4 1, 2015 SN: 86476073 cigarettes Company, Inc. (United uf 4 States a Tribal Corporation Organized Under the Laws of the Yakama Nation, a Federally Recognized Indian Tribe Organized Under the Laws and Treaties of the United States.)
© 2020 Corsearch 2/16
TM Record Mark/Name Status/Status Date App. No./Reg. No. Full Goods/Services Owner Information 2000 Fort Simcoe Road White Swan Washington 98952
US Federal KING MOUNTAIN Cancelled - Sec. 8 July RN: 3352436 (Int'l Class: 34) King Mountain Tobacco Q4 18, 2014 SN: 78956731 cigarettes Company, Inc. (United uf 5 States Tribal Corporation of the Yakama Nation)
20-01808-WLH11 Doc1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg35 of82 2000 Fort Simcoe Road White Swan Washington 98952
US Federal KING MOUNTAIN Renewed December 9, RN: 3544264 (Int'l Class: 34) King Mountain Tobacco Q4 PREMIUM BLEND 2018 SN: 77137007 cigarettes Company, Inc. (United uf 6 FULL FLAVOR- States Tribal WHERE QUALITY Corporation Organized REACHES ROYAL Under the Laws of the STANDARDS and Yakama Nation, a Design Federally Recognized Indian Tribe Organized Under the Laws and Treaties of the United States) 2000 Fort Simcoe Road White Swan Washington 98952
US Federal MOUNTAIN and Design Abandoned - Failure to SN: 78373524 (Int'l Class: 34) Wheeler, Delbert L., Sr. Q4 Respond April 13, 2005 cigarettes (United States Citizen) uf 7 1200 North White Swan Road White Swan Washington 989520237
© 2020 Corsearch 3/16
PATENTS
Blend ID# Type of Blend WF-1 Cigarette Blend WF1KMT Cigarette Blend WF1AOI Cigarette Blend
Blend ID# Type of Blend WF-2F Roll Your Own (Red 6 & 16oz. Bags) WF-2FM Roll Your Own (Menthol 6 & 16oz. Bags) WF-2L Roll Your Own (Gold 6 & 16oz. Bags) WF-2UL Roll Your Own (Blue 6 & 16oz. Bags)
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 36 of 82 Fill in this information to identify the case:
Debtor name King Mountain Tobacco Company, Inc.
United States Bankruptcy Court for the: EASTERN DISTRICT OF WASHINGTON
Case number (if known) Check if this is an amended filing Official Form 206D Schedule D: Creditors Who Have Claims Secured by Property 12/15
Be as complete and accurate as possible. 1. Do any creditors have claims secured by debtor's property? No. Check this box and submit page 1 of this form to the court with debtor's other schedules. Debtor has nothing else to report on this form. Yes. Fill in all of the information below.
Official Form 206D Schedule D: Creditors Who Have Claims Secured by Property page 1 of 1 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 37 of 82 Fill in this information to identify the case:
Debtor name King Mountain Tobacco Company, Inc.
United States Bankruptcy Court for the: EASTERN DISTRICT OF WASHINGTON
Case number (if known) Check if this is an amended filing Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 12/15 Be as complete and accurate as possible. Use Part 1 for creditors with PRIORITY unsecured claims and Part 2 for creditors with NONPRIORITY unsecured claims. List the other party to any executory contracts or unexpired leases that could result in a claim. Also list executory contracts on Schedule A/B: Assets - Real and Personal Property (Official Form 206A/B) and on Schedule G: Executory Contracts and Unexpired Leases (Official Form 206G). Number the entries in Parts 1 and 2 in the boxes on the left. If more space is needed for Part 1 or Part 2, fill out and attach the Additional Page of that Part included in this form.
Part 1: List All Creditors with PRIORITY Unsecured Claims
1. Do any creditors have priority unsecured claims? (See 11 U.S.C. § 507).
No. Go to Part 2.
Yes. Go to line 2.
2. List in alphabetical order all creditors who have unsecured claims that are entitled to priority in whole or in part. If the debtor has more than 3 creditors with priority unsecured claims, fill out and attach the Additional Page of Part 1.
Total claim Priority amount
2.1 Priority creditor's name and mailing address As of the petition filing date, the claim is: $69,329.21 $69,329.21 Internal Revenue Service Check all that apply. P.O. Box 9941, Stop 6552 Contingent Ogden, UT 84409-0941 Unliquidated Disputed
Date or dates debt was incurred Basis for the claim: Federal Income Taxes and Federal 2017-2018 Unemployment Taxes
Last 4 digits of account number Is the claim subject to offset? Specify Code subsection of PRIORITY No unsecured claim: 11 U.S.C. § 507(a) (8) Yes
Part 2: List All Creditors with NONPRIORITY Unsecured Claims 3. List in alphabetical order all of the creditors with nonpriority unsecured claims. If the debtor has more than 6 creditors with nonpriority unsecured claims, fill out and attach the Additional Page of Part 2. Amount of claim
3.1 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Advanced Auto Parts Contingent 717 W 1st Street Unliquidated Wapato, WA 98951 Disputed Date(s) debt was incurred Basis for the claim: Automotive Parts Last 4 digits of account number 0087 Is the claim subject to offset? No Yes
3.2 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Alliance One Specialty Prods., LLC Contingent PO Box 1929 Unliquidated Wilson, NC 27894-1929 Disputed Date(s) debt was incurred Basis for the claim: Processed Tobacco Last 4 digits of account number 9419 Is the claim subject to offset? No Yes
Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 1 of 13 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com 27718 Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 38 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known) Name
3.3 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Aramark Uniform Services Contingent PO Box 101179 Unliquidated Aus West Lockbox Disputed Pasadena, CA 91189-0005 Basis for the claim: Professional Services Date(s) debt was incurred Last 4 digits of account number 3368 Is the claim subject to offset? No Yes
3.4 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $5,571.66 BIA/NIIMS Contingent 13922 Denver West Pkwy Unliquidated Lakewood, CO 80401 Disputed Date(s) debt was incurred Basis for the claim: Lease Expense Last 4 digits of account number Is the claim subject to offset? No Yes
3.5 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Burrows Tractor, Inc. Contingent Attn: Angie Deaton Unliquidated 1308 E. Mead Avenue Disputed Union Gap, WA 98903-3709 Basis for the claim: Equipment Parts Date(s) debt was incurred Last 4 digits of account number 1893 Is the claim subject to offset? No Yes
3.6 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $78.69 Cascade Valley Lube Contingent 2506 Main Street Unliquidated Union Gap, WA 98903 Disputed Date(s) debt was incurred Basis for the claim: Automotive Services Last 4 digits of account number 5487 Is the claim subject to offset? No Yes
3.7 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 CBIT Contingent Attn: Justin Benoit Unliquidated PO Box 5277 Disputed Pasco, WA 99302-5201 Basis for the claim: IT Services Date(s) debt was incurred Last 4 digits of account number Is the claim subject to offset? No Yes
3.8 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Central Machinery Sales Inc. Contingent PO Box 1217 Unliquidated Moses Lake, WA 98837 Disputed Date(s) debt was incurred Basis for the claim: Equipment Parts Last 4 digits of account number WHEFAR Is the claim subject to offset? No Yes
3.9 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $239.95 Cintas Corp. Contingent PO Box 650838 Unliquidated Dallas, TX 75265-0838 Disputed Date(s) debt was incurred Basis for the claim: Professional Services Last 4 digits of account number 4857 Is the claim subject to offset? No Yes
Official Form 206 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 2 of 13 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 39 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known) Name
3.10 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. Unknown City of New York Contingent Attn: Michael A. Cardozo 100 Church St., Room 20-99 Unliquidated New York, NY 10007 Disputed Date(s) debt was incurred Basis for the claim: Case No. 12-cv-06276-JS-SIL, U.S. District Court, Last 4 digits of account number 3LDW E.D.N.Y.:pending civil action for injunctive relief, civil penalties, damages and attorney's fees
Is the claim subject to offset? No Yes
3.11 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Coastal Farm & Home Supply Contingent PO Box 99 Unliquidated Albany, OR 97321 Disputed Date(s) debt was incurred Basis for the claim: Equipment Parts Last 4 digits of account number 6997 Is the claim subject to offset? No Yes
3.12 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Colorado Attorney General Office Contingent 1300 Broadway, 8th Floor Unliquidated Denver, CO 80202 Disputed Date(s) debt was incurred Basis for the claim: Notice Only Last 4 digits of account number Is the claim subject to offset? No Yes
3.13 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Commercial Tire, Inc. Contingent PO Box 970 Unliquidated Meridian, ID 83680 Disputed Date(s) debt was incurred Basis for the claim: Automotive Services Last 4 digits of account number 5102 Is the claim subject to offset? No Yes
3.14 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $75,467,193.24 Department of the Treasury Contingent Tobacco Tax & Trade Bureau Unliquidated 550 Main Street, Suite 8002 Disputed Cincinnati, OH 45202-5215 Basis for the claim: Federal Excise Taxes - Alcohol and Tobacco Tax and Date(s) debt was incurred 9/01/2009 - 3/31/2013 Trade Bureau Last 4 digits of account number 0300 Is the claim subject to offset? No Yes
3.15 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Fastenal Contingent PO Box 978 Unliquidated Winona, MN 55987 Disputed Date(s) debt was incurred Basis for the claim: Warehouse Parts Last 4 digits of account number 1089 Is the claim subject to offset? No Yes
3.16 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Grainger Inc. Contingent PO Box 419267 Unliquidated Kansas City, MO 64141-6267 Disputed Date(s) debt was incurred Basis for the claim: Equipment Parts Last 4 digits of account number 3712 Is the claim subject to offset? No Yes
Official Form 206 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 3 of 13 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 40 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known) Name
3.17 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $189.10 Grease Heads Lube and Oil Contingent 310 South Elm Street Unliquidated Toppenish, WA 98948 Disputed Date(s) debt was incurred Basis for the claim: Automotive Services Last 4 digits of account number Is the claim subject to offset? No Yes
3.18 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $21,225.50 Guardian Security Contingent 1743 First Avenue South Unliquidated Seattle, WA 98134 Disputed Date(s) debt was incurred Basis for the claim: Monitoring Fees Last 4 digits of account number 0569 Is the claim subject to offset? No Yes
3.19 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $5,972.79 H.B. Fuller Contingent PO Box 842401 Unliquidated Boston, MA 02284-2401 Disputed Date(s) debt was incurred Basis for the claim: Raw Materials Last 4 digits of account number 1831 Is the claim subject to offset? No Yes
3.20 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $814,447.00 Heritage Bank Contingent PO Box 1578 Unliquidated Olympia, WA 98507 Disputed Date(s) debt was incurred 4/20/2020 Basis for the claim: SBA Paycheck Protection Program loan Last 4 digits of account number 2367 Is the claim subject to offset? No Yes
3.21 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Husch & Husch, Inc. Contingent PO Box 160 Unliquidated Harrah, WA 98933 Disputed Date(s) debt was incurred Basis for the claim: Agriculture Spray Last 4 digits of account number 2025 Is the claim subject to offset? No Yes
3.22 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Idaho Attorney General's Office Contingent Consumer Protection Unit Unliquidated P.O. Box 83720 Disputed Boise, ID 83720-0010 Basis for the claim: Notice Only Date(s) debt was incurred Last 4 digits of account number Is the claim subject to offset? No Yes
3.23 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Ideal Lumber & Hardware Inc Contingent PO Box 249 Unliquidated Toppenish, WA 98948 Disputed Date(s) debt was incurred Basis for the claim: Warehouse Parts Last 4 digits of account number 5921 Is the claim subject to offset? No Yes
Official Form 206 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 4 of 13 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 41 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known) Name
3.24 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $483,527.08 Internal Revenue Service Contingent P.O. Box 9941, Stop 6552 Unliquidated Ogden, UT 84409-0941 Disputed Date(s) debt was incurred 2011-2016 Basis for the claim: Federal Income Taxes, Federal Unemployment Taxes, Last 4 digits of account number FICA and Federal Withholdings, and Civil Penalties
Is the claim subject to offset? No Yes
3.25 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $6,609.60 ITC Services Contingent 4172 N. Frontage Road E. Unliquidated Moses Lake, WA 98837 Disputed Date(s) debt was incurred Basis for the claim: Alfalfa Supplies Last 4 digits of account number Is the claim subject to offset? No Yes
3.26 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 John Deere Financial Contingent PO Box 4450 Unliquidated Carol Stream, IL 60197-4450 Disputed Date(s) debt was incurred Basis for the claim: Tractor Lease Last 4 digits of account number 0000 Is the claim subject to offset? No Yes
3.27 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Kentucky Attorney General's Office Contingent Tobacco Litigation Unliquidated State Capitol Room 116 Disputed Frankfort, KY 40601 Basis for the claim: Notice Only Date(s) debt was incurred Last 4 digits of account number Is the claim subject to offset? No Yes
3.28 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Lad Irrigation Company Contingent P.O. Box 880 Unliquidated Moses Lake, WA 98837 Disputed Date(s) debt was incurred Basis for the claim: Irrigation Parts Last 4 digits of account number 3365 Is the claim subject to offset? No Yes
3.29 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Les Schwab Tire Center Contingent PO Box 9277 Unliquidated Yakima, WA 98909 Disputed Date(s) debt was incurred Basis for the claim: Automotive Services Last 4 digits of account number 0932 Is the claim subject to offset? No Yes
3.30 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Lincoln Financial Group Contingent Box 0821 Unliquidated Carol Stream, IL 60132-0821 Disputed Date(s) debt was incurred Basis for the claim: Dental Insurance Last 4 digits of account number 2418 Is the claim subject to offset? No Yes
Official Form 206 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 5 of 13 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 42 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known) Name
3.31 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Montana Attorney General's Office Contingent Dept. of Justice Tobacco Program Unliquidated P.O. Box 200151 Disputed Helena, MT 59620-0151 Basis for the claim: Notice Only Date(s) debt was incurred Last 4 digits of account number Is the claim subject to offset? No Yes
3.32 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Mortons Supply Inc. Contingent 1724 S First St Unliquidated Yakima, WA 98901 Disputed Date(s) debt was incurred Basis for the claim: Farm Spray Last 4 digits of account number 4032 Is the claim subject to offset? No Yes
3.33 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Mutual of Omaha Inc. Contingent Attn: Elissa Stark Unliquidated PO Box 2147 Disputed Omaha, NE 68103-2147 Basis for the claim: Life Insurance Date(s) debt was incurred Last 4 digits of account number AB9X Is the claim subject to offset? No Yes
3.34 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $99,818.93 NC Filter Corporation Contingent Attn: Bobby Johnson Unliquidated P.O. Box 498 Disputed Black Creek, NC 27813 Basis for the claim: Raw Materials-Filters Date(s) debt was incurred Last 4 digits of account number Is the claim subject to offset? No Yes
3.35 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 NC Machinery Inc. Contingent PO Box 58201 Unliquidated Tukwila, WA 98138-1201 Disputed Date(s) debt was incurred Basis for the claim: Equipment Parts Last 4 digits of account number 5500 Is the claim subject to offset? No Yes
3.36 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Nevada Attorney General's Office Contingent Attn: Tobacco Enforcement Unit Unliquidated 5420 Kietzke Lane, Suite 2020 Disputed Reno, NV 89511 Basis for the claim: Notice Only Date(s) debt was incurred Last 4 digits of account number Is the claim subject to offset? No Yes
3.37 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 New Mexico Atty General's Office Contingent P.O. Drawer 1508 Unliquidated Santa Fe, NM 87504-1508 Disputed Date(s) debt was incurred Basis for the claim: Notice Only Last 4 digits of account number Is the claim subject to offset? No Yes
Official Form 206 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 6 of 13 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 43 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known) Name
3.38 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 North Carolina Atty Gen's Office Contingent Special Lit. Section-Tobacco Unit Unliquidated P.O. Box 629 Disputed Raleigh, NC 27602 Basis for the claim: Notice Only Date(s) debt was incurred Last 4 digits of account number Is the claim subject to offset? No Yes
3.39 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 North Dakota Atty General's Office Contingent 500 N. 9th Street Unliquidated Bismarck, ND 58501-4509 Disputed Date(s) debt was incurred Basis for the claim: Notice Only Last 4 digits of account number Is the claim subject to offset? No Yes
3.40 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $4,533.10 Oak Harbor Freight Lines, Inc. Contingent PO Box 1469 Unliquidated Auburn, WA 98071-1469 Disputed Date(s) debt was incurred Basis for the claim: Shipping Last 4 digits of account number 9445 Is the claim subject to offset? No Yes
3.41 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $100.97 Office Solutions Northwest Inc. Contingent PO Box 125 Unliquidated Yakima, WA 98907 Disputed Date(s) debt was incurred Basis for the claim: Office Supplies Last 4 digits of account number 1492 Is the claim subject to offset? No Yes
3.42 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Oregon Attorney General's Office Contingent Dept. of Justice-Tobacco Enforcemen Unliquidated 1162 Court Street NE Disputed Salem, OR 97301-4096 Basis for the claim: Notice Only Date(s) debt was incurred Last 4 digits of account number Is the claim subject to offset? No Yes
3.43 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Pacific Power Contingent PO Box 26000 Unliquidated Portland, OR 97256-0001 Disputed Date(s) debt was incurred Basis for the claim: Electricity Last 4 digits of account number 0014 Is the claim subject to offset? No Yes
3.44 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Pepsi Contingent PO Box 111 Unliquidated Yakima, WA 98907 Disputed Date(s) debt was incurred Basis for the claim: Office Supplies Last 4 digits of account number 5385 Is the claim subject to offset? No Yes
Official Form 206 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 7 of 13 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 44 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known) Name
3.45 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Pitney Bowes Monthly Fee Contingent PO Box 371887 Unliquidated Pittsburgh, PA 15250-7887 Disputed Date(s) debt was incurred Basis for the claim: Postage Last 4 digits of account number 8826 Is the claim subject to offset? No Yes
3.46 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Premera Blue Cross Contingent PO. Box 6 Unliquidated Mukilteo, WA 09827-5006 Disputed Date(s) debt was incurred Basis for the claim: Health Insurance Last 4 digits of account number 0001 Is the claim subject to offset? No Yes
3.47 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 QBSI-Xerox Contingent PO BOX 936793 Unliquidated Atlanta, GA 31193-6793 Disputed Date(s) debt was incurred Basis for the claim: Office Supplies Last 4 digits of account number 2882 Is the claim subject to offset? No Yes
3.48 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $25.00 Rehn & Associates COBRA Contingent PO Box 5433 Unliquidated Spokane, WA 99205 Disputed Date(s) debt was incurred Basis for the claim: Professional Services Last 4 digits of account number 9902 Is the claim subject to offset? No Yes
3.49 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $18,206.34 Smoke-N-Gas Contingent 7453 Sunnyside Mabton Road Unliquidated Mabton, WA 98935 Disputed Date(s) debt was incurred Basis for the claim: Overpayment Last 4 digits of account number Is the claim subject to offset? No Yes
3.50 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Stach Steel Supply Contingent 3070 Harrah Rd Unliquidated Harrah, WA 98933 Disputed Date(s) debt was incurred Basis for the claim: Equipment Parts Last 4 digits of account number Is the claim subject to offset? No Yes
3.51 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 State of California Contingent Office of the Attorney General Unliquidated 1300 "I" Street Disputed Sacramento, CA 95814-2919 Basis for the claim: Notice Only Date(s) debt was incurred Last 4 digits of account number Is the claim subject to offset? No Yes
Official Form 206 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 8 of 13 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 45 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known) Name
3.52 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $3,506,121.00 State of Indiana Contingent Office of the Attorney General Unliquidated 302 W. Washington St., 5th Fl. Disputed Indianapolis, IN 46204 Basis for the claim: Settlement Agreement with State of Indiana re Case Date(s) debt was incurred No. 49D10-1211-MI-044539, Marion County Superior Court Last 4 digits of account number Is the claim subject to offset? No Yes
3.53 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $2,520,567.98 State of South Carolina Contingent Office of the Attorney General Unliquidated P.O. Box 11549 Disputed Columbia, SC 29211-1549 Basis for the claim: Settlement Agreement with State of South Carolina re Date(s) debt was incurred Case No. 2011-CP-40-5065, Richland County Court of Common Pleas Last 4 digits of account number Is the claim subject to offset? No Yes
3.54 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Sunnyside New Holland Contingent PO Box 1580 Unliquidated Sunnyside, WA 98944 Disputed Date(s) debt was incurred Basis for the claim: Tractor Parts Last 4 digits of account number 9785 Is the claim subject to offset? No Yes
3.55 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Tacoma Screw Product, Inc. Contingent PO Box 35165 Unliquidated Seattle, WA 98124-5165 Disputed Date(s) debt was incurred Basis for the claim: Equipment Parts Last 4 digits of account number 3659 Is the claim subject to offset? No Yes
3.56 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $5,614,567.20 U.S. Dep't of Agriculture Contingent 2323 E. Bannister Rd. Unliquidated Kansas City, MO 64131 Disputed Date(s) debt was incurred Basis for the claim: Interim Payment Plan Agreement re Judgment in U.S. Last 4 digits of account number 6374 District Court, E.D. Wash.
Is the claim subject to offset? No Yes
3.57 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $2,944,907.48 U.S. Food and Drug Administration Contingent P.O. Box 979107 Unliquidated Saint Louis, MO 63197-9000 Disputed Date(s) debt was incurred Basis for the claim: Repayment Agreement re Tobacco User Fees Last 4 digits of account number Is the claim subject to offset? No Yes
3.58 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Valley Septic Service Contingent PO Box 10115 Unliquidated Yakima, WA 98909-1115 Disputed Date(s) debt was incurred Basis for the claim: Professional Services Last 4 digits of account number Is the claim subject to offset? No Yes
Official Form 206 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 9 of 13 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 46 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known) Name
3.59 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Verizon Wireless Contingent PO Box 660108 Unliquidated Dallas, TX 75266-0108 Disputed Date(s) debt was incurred Basis for the claim: Wireless Service Last 4 digits of account number 0001 Is the claim subject to offset? No Yes
3.60 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Virginia Attorney General's Office Contingent 2020 North 9th Street Unliquidated Richmond, VA 23219 Disputed Date(s) debt was incurred Basis for the claim: Notice Only Last 4 digits of account number Is the claim subject to offset? No Yes
3.61 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Vision Service Plan-(WA) Contingent Box 742430 Unliquidated Los Angeles, CA 90074-2430 Disputed Date(s) debt was incurred Basis for the claim: Vision Insurance Last 4 digits of account number 2746 Is the claim subject to offset? No Yes
3.62 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 WA Attorney General's Office Contingent P.O. Box 40123 Unliquidated Olympia, WA 98504-0123 Disputed Date(s) debt was incurred Basis for the claim: Notice Only Last 4 digits of account number Is the claim subject to offset? No Yes
3.63 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Washington Tractor Contingent 2700 136th Ave. Ct E Unliquidated Sumner, WA 98390 Disputed Date(s) debt was incurred Basis for the claim: Tractor Parts Last 4 digits of account number 7723 Is the claim subject to offset? No Yes
3.64 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $584,136.57 Wheeler Kountry Korner Contingent 2421 W. Wapato Rd. Unliquidated Wapato, WA 98951 Disputed Date(s) debt was incurred Basis for the claim: Fuel Last 4 digits of account number 44 Is the claim subject to offset? No Yes
3.65 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $13,802.12 Wheeler Rock Products Contingent Attn: Missy Bergevin Unliquidated PO Box 99 Disputed Wapato, WA 98951 Basis for the claim: Concrete Expense Date(s) debt was incurred Last 4 digits of account number Is the claim subject to offset? No Yes
Official Form 206 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 10 of 13 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 47 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known) Name
3.66 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $67,500.00 Yakama Nation Contingent PO Box 151 Unliquidated Toppenish, WA 98948 Disputed Date(s) debt was incurred Basis for the claim: Tax Stamps Last 4 digits of account number Is the claim subject to offset? No Yes
3.67 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $176,659.00 Yakama Nation Land Enterprise Contingent 282 Buster Road Unliquidated Toppenish, WA 98948 Disputed Date(s) debt was incurred Basis for the claim: Lease Expense Last 4 digits of account number Is the claim subject to offset? No Yes
3.68 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Yakama Power Contingent PO Box 1610 Unliquidated Toppenish, WA 98948 Disputed Date(s) debt was incurred Basis for the claim: Electricity Last 4 digits of account number 2153 Is the claim subject to offset? No Yes
3.69 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Yakima CDJR Contingent 2300 Goodman Rd Unliquidated Union Gap, WA 98903 Disputed Date(s) debt was incurred Basis for the claim: Automotive Services Last 4 digits of account number KINGMNT Is the claim subject to offset? No Yes
3.70 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Yakima Cooperative Inc. Contingent 501 S Front St Unliquidated Yakima, WA 98901 Disputed Date(s) debt was incurred Basis for the claim: Warehouse Parts Last 4 digits of account number 1433 Is the claim subject to offset? No Yes
3.71 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Yakima Implement & Irrigation, Inc. Contingent 1922 So. 1st Street Unliquidated Yakima, WA 98903 Disputed Date(s) debt was incurred Basis for the claim: Equipment Parts Last 4 digits of account number 9935 Is the claim subject to offset? No Yes
3.72 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Yakima Steel Fabricators Contingent 6 E Washington Ave Unliquidated Yakima, WA 98903 Disputed Date(s) debt was incurred Basis for the claim: Warehouse Parts Last 4 digits of account number NG01 Is the claim subject to offset? No Yes
Official Form 206 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 11 of 13 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 48 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known) Name
3.73 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Yakima Valley Transportation LLC Contingent 301 South 12th Avenue Unliquidated Yakima, WA 98902 Disputed Date(s) debt was incurred Basis for the claim: Shipping Last 4 digits of account number Is the claim subject to offset? No Yes
3.74 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $0.00 Yakima Waste Systems Inc. Contingent PO Box 7428 Unliquidated Pasadena, CA 91109-7428 Disputed Date(s) debt was incurred Basis for the claim: Garbage Fees Last 4 digits of account number 7816 Is the claim subject to offset? No Yes
Part 3: List Others to Be Notified About Unsecured Claims
4. List in alphabetical order any others who must be notified for claims listed in Parts 1 and 2. Examples of entities that may be listed are collection agencies, assignees of claims listed above, and attorneys for unsecured creditors.
If no others need to be notified for the debts listed in Parts 1 and 2, do not fill out or submit this page. If additional pages are needed, copy the next page.
Name and mailing address On which line in Part1 or Part 2 is the Last 4 digits of related creditor (if any) listed? account number, if any 4.1 Alliance One Specialty Prods., LLC 2305 Baldree Road Line 3.2 9419 Wilson, NC 27893-9518 Not listed. Explain
4.2 Aramark Uniform Services 1101 Market Street Line 3.3 3368 Philadelphia, PA 19107 Not listed. Explain
4.3 Central Machinery Sales Inc. 1201 Yonezawa Blvd. Line 3.8 WHEFAR Moses Lake, WA 98837 Not listed. Explain
4.4 Cintas Corp. 6707 W. Sam Houston Pkwy. N. Line 3.9 4857 Houston, TX 77041 Not listed. Explain
4.5 Commercial Tire, Inc. 2095 E. Commercial Street Line 3.13 5102 Meridian, ID 83642 Not listed. Explain
4.6 Fastenal 2001 Theurer Blvd. Line 3.15 1089 Winona, MN 55987 Not listed. Explain
4.7 H.B. Fuller 1200 Willow Lake Blvd. Line 3.19 Saint Paul, MN 55164-0683 Not listed. Explain
4.8 Heritage Bank 3615 Pacific Avenue Line 3.20 2367 Tacoma, WA 98418-7921 Not listed. Explain
Official Form 206 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 12 of 13 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 49 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known) Name Name and mailing address On which line in Part1 or Part 2 is the Last 4 digits of related creditor (if any) listed? account number, if any 4.9 Oak Harbor Freight Lines, Inc. 1339 West Valley Hwy. N. Line 3.40 9445 Auburn, WA 98071-1469 Not listed. Explain
4.10 U.S. Food and Drug Administration 645 S. Newstead Ave. Line 3.57 Saint Louis, MO 63110 Not listed. Explain
4.11 W. W. Grainger, Inc. 100 Grainger Parkway Line 3.16 Lake Forest, IL 60045 Not listed. Explain
4.12 Yakama Nation Land Enterprise PO Box 151 Line 3.67 Toppenish, WA 98948 Not listed. Explain
Part 4: Total Amounts of the Priority and Nonpriority Unsecured Claims
5. Add the amounts of priority and nonpriority unsecured claims. Total of claim amounts 5a. Total claims from Part 1 5a. $ 69,329.21 5b. Total claims from Part 2 5b. + $ 92,356,000.30
5c. Total of Parts 1 and 2 Lines 5a + 5b = 5c. 5c. $ 92,425,329.51
Official Form 206 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 13 of 13 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 50 of 82 Fill in this information to identify the case:
Debtor name King Mountain Tobacco Company, Inc.
United States Bankruptcy Court for the: EASTERN DISTRICT OF WASHINGTON
Case number (if known) Check if this is an amended filing Official Form 206G Schedule G: Executory Contracts and Unexpired Leases 12/15 Be as complete and accurate as possible. If more space is needed, copy and attach the additional page, number the entries consecutively.
1. Does the debtor have any executory contracts or unexpired leases? No. Check this box and file this form with the debtor's other schedules. There is nothing else to report on this form. Yes. Fill in all of the information below even if the contacts of leases are listed on Schedule A/B: Assets - Real and Personal Property (Official Form 206A/B).
2. List all contracts and unexpired leases State the name and mailing address for all other parties with whom the debtor has an executory contract or unexpired lease
2.1. State what the contract or Equipment Lease of lease is for and the nature of John Deere 9570RX 4 the debtor's interest Track Tractor S/N: 804183 State the term remaining 11/27/2021 Deere Credit, Inc. List the contract number of any 6400 NW 86th Street government contract Johnston, IA 50131
2.2. State what the contract or Governmental lease is for and the nature of securities consulting the debtor's interest services
State the term remaining 6/12/2021 Englishman and Pannill, LLC List the contract number of any 830 Oaklawn Drive government contract Winston Salem, NC 27104
2.3. State what the contract or Mechanical Technician lease is for and the nature of employment contract the debtor's interest
State the term remaining 07/31/2025 Robert Reis List the contract number of any 2000 Fort Simcoe Road government contract White Swan, WA 98952-0422
2.4. State what the contract or All Escrow Agreements lease is for and the nature of re Beneficiary States the debtor's interest for whose funds are being escrowed pursuant to Non-Participating Manufacturer Statutes: See Attached List State the term remaining perpetual Truist Bank Attn: Susan Fairhurst List the contract number of any 223 West Nash Street government contract Wilson, NC 27894
Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 1 of 2 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 51 of 82 Debtor 1 King Mountain Tobacco Company, Inc. Case number (if known) First Name Middle Name Last Name
Additional Page if You Have More Contracts or Leases
2. List all contracts and unexpired leases State the name and mailing address for all other parties with whom the debtor has an executory contract or unexpired lease
2.5. State what the contract or Chief Executive Officer lease is for and the nature of & Chief Financial the debtor's interest Officer employment contract State the term remaining 07/31/2025 Truman J. Thompson List the contract number of any 2000 Fort Simcoe Road government contract White Swan, WA 98952-0422
Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 2 of 2 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 52 of 82 In re: King Mountain Tobacco Company, Inc. Attachment to Schedule G-2.5-Truist Bank: MSA Beneficiary States
California Colorado Idaho Indiana Kentucky Montana Nevada New Mexico North Carolina North Dakota Oregon South Carolina Virginia Washington
di24hk01g0 20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 53 of 82 Fill in this information to identify the case:
Debtor name King Mountain Tobacco Company, Inc.
United States Bankruptcy Court for the: EASTERN DISTRICT OF WASHINGTON
Case number (if known) Check if this is an amended filing Official Form 206H Schedule H: Your Codebtors 12/15
Be as complete and accurate as possible. If more space is needed, copy the Additional Page, numbering the entries consecutively. Attach the Additional Page to this page.
1. Do you have any codebtors?
No. Check this box and submit this form to the court with the debtor's other schedules. Nothing else needs to be reported on this form. Yes
2. In Column 1, list as codebtors all of the people or entities who are also liable for any debts listed by the debtor in the schedules of creditors, Schedules D-G. Include all guarantors and co-obligors. In Column 2, identify the creditor to whom the debt is owed and each schedule on which the creditor is listed. If the codebtor is liable on a debt to more than one creditor, list each creditor separately in Column 2. Column 1: Codebtor Column 2: Creditor
Name Mailing Address Name Check all schedules that apply:
2.1 Trina A. Wheeler 2000 Fort Simcoe Road Deere Credit, Inc. D White Swan, WA 98952-0422 E/F G 2.1
Official Form 206H Schedule H: Your Codebtors Page 1 of 1 Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 54 of 82 Fill in this information to identify the case:
Debtor name King Mountain Tobacco Company, Inc.
United States Bankruptcy Court for the: EASTERN DISTRICT OF WASHINGTON
Case number (if known) Check if this is an amended filing
Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy 04/19 The debtor must answer every question. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write the debtor’s name and case number (if known).
Part 1: Income
1. Gross revenue from business
None.
Identify the beginning and ending dates of the debtor’s fiscal year, Sources of revenue Gross revenue which may be a calendar year Check all that apply (before deductions and exclusions)
From the beginning of the fiscal year to filing date: Operating a business $20,905,531.00 From 1/01/2020 to Filing Date Other
For prior year: Operating a business $29,946,015.00 From 1/01/2019 to 12/31/2019 Other
For year before that: Operating a business $31,401,787.00 From 1/01/2018 to 12/31/2018 Other
2. Non-business revenue Include revenue regardless of whether that revenue is taxable. Non-business income may include interest, dividends, money collected from lawsuits, and royalties. List each source and the gross revenue for each separately. Do not include revenue listed in line 1.
None.
Description of sources of revenue Gross revenue from each source (before deductions and exclusions)
From the beginning of the fiscal year to filing date: From 1/01/2020 to Filing Date Interest Income $2,289,804.00
For prior year: From 1/01/2019 to 12/31/2019 Interest Income $1,647,954.00
For prior year: From 1/01/2019 to 12/31/2019 Miscellaneous Income $1,414,688.00
Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 1
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Description of sources of revenue Gross revenue from each source (before deductions and exclusions) For year before that: From 1/01/2018 to 12/31/2018 Interest Income $838,812.00
For year before that: From 1/01/2018 to 12/31/2018 Miscellaneous Income $15.00
Part 2: List Certain Transfers Made Before Filing for Bankruptcy
3. Certain payments or transfers to creditors within 90 days before filing this case List payments or transfers--including expense reimbursements--to any creditor, other than regular employee compensation, within 90 days before filing this case unless the aggregate value of all property transferred to that creditor is less than $6,825. (This amount may be adjusted on 4/01/22 and every 3 years after that with respect to cases filed on or after the date of adjustment.)
None.
Creditor's Name and Address Dates Total amount of value Reasons for payment or transfer Check all that apply 3.1. Indiana 6/29/2020 $35,000.00 Secured debt BB&T-Indiana Sub Account Unsecured loan repayments 223 W Nash Street Suppliers or vendors Wilson, NC 27894 Services Other Indiana Settlement
3.2. Indiana 7/30/2020 $35,000.00 Secured debt BB&T-Indiana Sub Account Unsecured loan repayments 223 W Nash Street Suppliers or vendors Wilson, NC 27894 Services Other Indiana Settlement
3.3. Indiana 8/27/2020 $35,000.00 Secured debt BB&T-Indiana Sub Account Unsecured loan repayments 223 W Nash Street Suppliers or vendors Wilson, NC 27894 Services Other Indiana Settlement
3.4. South Carolina 6/29/2020 $10,000.00 Secured debt BB&T-SC Sub Account Unsecured loan repayments 223 W Nash Street Suppliers or vendors Wilson, NC 27894 Services Other South Carolina Settlement
3.5. South Carolina 7/30/2020 $10,000.00 Secured debt BB&T-SC Sub Account Unsecured loan repayments 223 W Nash Street Suppliers or vendors Wilson, NC 27894 Services Other South Carolina Settlement
Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 2
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20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 56 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known)
Creditor's Name and Address Dates Total amount of value Reasons for payment or transfer Check all that apply 3.6. South Carolina 8/27/2020 $10,000.00 Secured debt BB&T-SC Sub Account Unsecured loan repayments 223 W Nash Street Suppliers or vendors Wilson, NC 27894 Services Other South Carolina Settlement
3.7. USDA 6/29/2020 $45,000.00 Secured debt 2312 E, Bannister Road Unsecured loan repayments Kansas City, MO 64131 Suppliers or vendors Services Other Interim Agreement
3.8. USDA 7/30/2020 $45,000.00 Secured debt 2312 E, Bannister Road Unsecured loan repayments Kansas City, MO 64131 Suppliers or vendors Services Other Interim Agreement
3.9. USDA 8/27/2020 $45,000.00 Secured debt 2312 E, Bannister Road Unsecured loan repayments Kansas City, MO 64131 Suppliers or vendors Services Other Interim Agreement
3.10 FDA 6/29/2020 $45,000.00 . Secured debt Dept. of Health & Human Services Unsecured loan repayments Sent via wire, no address on file Suppliers or vendors Services Other FDA Settlement
3.11 FDA 7/30/2020 $45,000.00 . Secured debt Dept. of Health & Human Services Unsecured loan repayments Sent via wire, no address on file Suppliers or vendors Services Other FDA Settlement
3.12 FDA 8/27/2020 $45,000.00 . Secured debt Dept. of Health & Human Services Unsecured loan repayments Sent via wire, no address on file Suppliers or vendors Services Other FDA Settlement
Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 3
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20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 57 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known)
4. Payments or other transfers of property made within 1 year before filing this case that benefited any insider List payments or transfers, including expense reimbursements, made within 1 year before filing this case on debts owed to an insider or guaranteed or cosigned by an insider unless the aggregate value of all property transferred to or for the benefit of the insider is less than $6,825. (This amount may be adjusted on 4/01/22 and every 3 years after that with respect to cases filed on or after the date of adjustment.) Do not include any payments listed in line 3. Insiders include officers, directors, and anyone in control of a corporate debtor and their relatives; general partners of a partnership debtor and their relatives; affiliates of the debtor and insiders of such affiliates; and any managing agent of the debtor. 11 U.S.C. § 101(31).
None.
Insider's name and address Dates Total amount of value Reasons for payment or transfer Relationship to debtor 4.1. Wheeler Kountry Korner 1/7/2020 $10,393.61 On Account - Fuel Purchases 2421 W. Wapato Rd. Wapato, WA 98951 Related Entity
4.2. Wheeler Kountry Korner 3/13/2020 $7,009.24 On Account - Fuel Purchases 2421 W. Wapato Rd. Wapato, WA 98951 Related Entity
4.3. Wheeler Kountry Korner 5/19/2020 $52,389.02 On Account - Fuel Purchases 2421 W. Wapato Rd. Wapato, WA 98951 Related Entity
4.4. Wheeler Kountry Korner 6/11/2020 $35,345.84 On Account - Fuel Purchases 2421 W. Wapato Rd. Wapato, WA 98951 Related Entity
4.5. Wheeler Kountry Korner 7/16/2020 $21,967.84 On Account - Fuel Purchases 2421 W. Wapato Rd. Wapato, WA 98951 Related Entity
4.6. Wheeler Kountry Korner 8/6/2020 $25,682.62 On Account - Fuel Purchases 2421 W. Wapato Rd. Wapato, WA 98951 Related Entity
4.7. Wheeler Kountry Korner 8/26/2020 $20,625.94 On Account - Fuel Purchases 2421 W. Wapato Rd. Wapato, WA 98951 Related Entity
4.8. Wheeler Kountry Korner 9/17/2020 $17,889.07 On Account - Fuel Purchases 2421 W. Wapato Rd. Wapato, WA 98951 Related Entity
4.9. Wheeler Rock Products 11/8/2019 $16,248.90 Gravel 250 Cowin Lane PO Box 99 Wapato, WA 98951 Related Entity
4.10 Wheeler Rock Products 2/13/2020 $636.16 Gravel . 250 Cowin Lane PO Box 99 Wapato, WA 98951 Related Entity
Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 4
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Insider's name and address Dates Total amount of value Reasons for payment or transfer Relationship to debtor 4.11 Wheeler Logging 10/4/2019 $40,000.00 Monthly Management Fee . 1200 N White Swan Rd. PO Box 237 White Swan, WA 98952 Related Entity
4.12 Wheeler Logging 10/31/2019 $40,000.00 Monthly Management Fee . 1200 N White Swan Rd. PO Box 237 White Swan, WA 98952 Related Entity
4.13 Wheeler Logging 11/20/2019 $40,000.00 Monthly Management Fee . 1200 N White Swan Rd. PO Box 237 White Swan, WA 98952 Related Entity
4.14 Wheeler Logging 12/17/2019 $40,000.00 Monthly Management Fee . 1200 N White Swan Rd. PO Box 237 White Swan, WA 98952 Related Entity
4.15 Wheeler Logging 1/23/2019 $40,000.00 Monthly Management Fee . 1200 N White Swan Rd. PO Box 237 White Swan, WA 98952 Related Entity
4.16 Wheeler Logging 2/27/2020 $40,000.00 Monthly Management Fee . 1200 N White Swan Rd. PO Box 237 White Swan, WA 98952 Related Entity
4.17 Wheeler Logging 3/26/2020 $40,000.00 Monthly Management Fee . 1200 N White Swan Rd. PO Box 237 White Swan, WA 98952 Related Entity
5. Repossessions, foreclosures, and returns List all property of the debtor that was obtained by a creditor within 1 year before filing this case, including property repossessed by a creditor, sold at a foreclosure sale, transferred by a deed in lieu of foreclosure, or returned to the seller. Do not include property listed in line 6.
None
Creditor's name and address Describe of the Property Date Value of property
6. Setoffs List any creditor, including a bank or financial institution, that within 90 days before filing this case set off or otherwise took anything from an account of the debtor without permission or refused to make a payment at the debtor’s direction from an account of the debtor because the debtor owed a debt.
None
Creditor's name and address Description of the action creditor took Date action was Amount taken
Part 3: Legal Actions or Assignments
Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 5
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20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 59 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known)
7. Legal actions, administrative proceedings, court actions, executions, attachments, or governmental audits List the legal actions, proceedings, investigations, arbitrations, mediations, and audits by federal or state agencies in which the debtor was involved in any capacity—within 1 year before filing this case.
None.
Case title Nature of case Court or agency's name and Status of case Case number address 7.1. King Mountain Tobacco Civil action for Yakima County Superior Pending Company, Inc. v. Kamiakin damages, Court On appeal Wheeler, Kanim James, and injunctive relief, 128 N. 2nd Street Concluded Lone Warrior Holdings, Inc. return of property, Room 314 19-2-04309-39 and restitution. Yakima, WA 98901
7.2. City of New York v. King Civil action for U.S. District Court, E.D.N.Y. Pending Mountain Tobacco Company, injunctive relief, 225 Cadman Plaza E. On appeal Inc., et al. civil penalties, Brooklyn, NY 11201 Concluded 12-cv-06276-JS-SIL damages and attorney's fees.
8. Assignments and receivership List any property in the hands of an assignee for the benefit of creditors during the 120 days before filing this case and any property in the hands of a receiver, custodian, or other court-appointed officer within 1 year before filing this case.
None
Part 4: Certain Gifts and Charitable Contributions
9. List all gifts or charitable contributions the debtor gave to a recipient within 2 years before filing this case unless the aggregate value of the gifts to that recipient is less than $1,000
None
Recipient's name and address Description of the gifts or contributions Dates given Value
Part 5: Certain Losses
10. All losses from fire, theft, or other casualty within 1 year before filing this case.
None
Description of the property lost and Amount of payments received for the loss Dates of loss Value of property how the loss occurred lost If you have received payments to cover the loss, for example, from insurance, government compensation, or tort liability, list the total received.
List unpaid claims on Official Form 106A/B (Schedule A/B: Assets – Real and Personal Property). Accidental damage to swather Claim filed with insurance; maximum July 9, 2020 $43,000.00 header caused by employee during policy limit is $37,000, which is expected use. Estimated replacement cost is to be issued. $43,000.
Part 6: Certain Payments or Transfers
11. Payments related to bankruptcy List any payments of money or other transfers of property made by the debtor or person acting on behalf of the debtor within 1 year before the filing of this case to another person or entity, including attorneys, that the debtor consulted about debt consolidation or restructuring, seeking bankruptcy relief, or filing a bankruptcy case.
None.
Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 6
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20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 60 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known)
Who was paid or who received If not money, describe any property transferred Dates Total amount or the transfer? value Address 11.1. Bush Kornfeld LLP 601 Union Street Suite 5000 September Seattle, WA 98101-2373 25, 2020 $25,534.20
Email or website address
Who made the payment, if not debtor?
12. Self-settled trusts of which the debtor is a beneficiary List any payments or transfers of property made by the debtor or a person acting on behalf of the debtor within 10 years before the filing of this case to a self-settled trust or similar device. Do not include transfers already listed on this statement.
None.
Name of trust or device Describe any property transferred Dates transfers Total amount or were made value
13. Transfers not already listed on this statement List any transfers of money or other property by sale, trade, or any other means made by the debtor or a person acting on behalf of the debtor within 2 years before the filing of this case to another person, other than property transferred in the ordinary course of business or financial affairs. Include both outright transfers and transfers made as security. Do not include gifts or transfers previously listed on this statement.
None.
Who received transfer? Description of property transferred or Date transfer Total amount or Address payments received or debts paid in exchange was made value
Part 7: Previous Locations
14. Previous addresses List all previous addresses used by the debtor within 3 years before filing this case and the dates the addresses were used.
Does not apply
Address Dates of occupancy From-To
Part 8: Health Care Bankruptcies
15. Health Care bankruptcies Is the debtor primarily engaged in offering services and facilities for: - diagnosing or treating injury, deformity, or disease, or - providing any surgical, psychiatric, drug treatment, or obstetric care?
No. Go to Part 9. Yes. Fill in the information below.
Facility name and address Nature of the business operation, including type of services If debtor provides meals the debtor provides and housing, number of patients in debtor’s care
Part 9: Personally Identifiable Information
Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 7
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20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 61 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known)
16. Does the debtor collect and retain personally identifiable information of customers?
No. Yes. State the nature of the information collected and retained.
17. Within 6 years before filing this case, have any employees of the debtor been participants in any ERISA, 401(k), 403(b), or other pension or profit-sharing plan made available by the debtor as an employee benefit?
No. Go to Part 10. Yes. Does the debtor serve as plan administrator?
Part 10: Certain Financial Accounts, Safe Deposit Boxes, and Storage Units
18. Closed financial accounts Within 1 year before filing this case, were any financial accounts or instruments held in the debtor’s name, or for the debtor’s benefit, closed, sold, moved, or transferred? Include checking, savings, money market, or other financial accounts; certificates of deposit; and shares in banks, credit unions, brokerage houses, cooperatives, associations, and other financial institutions.
None Financial Institution name and Last 4 digits of Type of account or Date account was Last balance Address account number instrument closed, sold, before closing or moved, or transfer transferred
19. Safe deposit boxes List any safe deposit box or other depository for securities, cash, or other valuables the debtor now has or did have within 1 year before filing this case.
None
Depository institution name and address Names of anyone with Description of the contents Do you still access to it have it? Address
20. Off-premises storage List any property kept in storage units or warehouses within 1 year before filing this case. Do not include facilities that are in a part of a building in which the debtor does business.
None
Facility name and address Names of anyone with Description of the contents Do you still access to it have it?
Part 11: Property the Debtor Holds or Controls That the Debtor Does Not Own
21. Property held for another List any property that the debtor holds or controls that another entity owns. Include any property borrowed from, being stored for, or held in trust. Do not list leased or rented property.
None
Part 12: Details About Environment Information
For the purpose of Part 12, the following definitions apply: Environmental law means any statute or governmental regulation that concerns pollution, contamination, or hazardous material, regardless of the medium affected (air, land, water, or any other medium).
Site means any location, facility, or property, including disposal sites, that the debtor now owns, operates, or utilizes or that the debtor formerly owned, operated, or utilized.
Hazardous material means anything that an environmental law defines as hazardous or toxic, or describes as a pollutant, contaminant, or a similarly harmful substance. Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 8
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Report all notices, releases, and proceedings known, regardless of when they occurred.
22. Has the debtor been a party in any judicial or administrative proceeding under any environmental law? Include settlements and orders.
No. Yes. Provide details below.
Case title Court or agency name and Nature of the case Status of case Case number address
23. Has any governmental unit otherwise notified the debtor that the debtor may be liable or potentially liable under or in violation of an environmental law?
No. Yes. Provide details below.
Site name and address Governmental unit name and Environmental law, if known Date of notice address
24. Has the debtor notified any governmental unit of any release of hazardous material?
No. Yes. Provide details below.
Site name and address Governmental unit name and Environmental law, if known Date of notice address
Part 13: Details About the Debtor's Business or Connections to Any Business
25. Other businesses in which the debtor has or has had an interest List any business for which the debtor was an owner, partner, member, or otherwise a person in control within 6 years before filing this case. Include this information even if already listed in the Schedules.
None
Business name address Describe the nature of the business Employer Identification number Do not include Social Security number or ITIN.
Dates business existed
26. Books, records, and financial statements 26a. List all accountants and bookkeepers who maintained the debtor’s books and records within 2 years before filing this case. None
Name and address Date of service From-To 26a.1. Truman J. Thompson 8/01/2018 - present 2000 Fort Simcoe Road White Swan, WA 98952
26b. List all firms or individuals who have audited, compiled, or reviewed debtor’s books of account and records or prepared a financial statement within 2 years before filing this case.
None
26c. List all firms or individuals who were in possession of the debtor’s books of account and records when this case is filed.
None
Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 9
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20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 63 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known)
Name and address If any books of account and records are unavailable, explain why 26c.1. Truman J. Thompson 2000 Fort Simcoe Road White Swan, WA 98952
26d. List all financial institutions, creditors, and other parties, including mercantile and trade agencies, to whom the debtor issued a financial statement within 2 years before filing this case.
None
Name and address 26d.1. PayneWest Insurance 1430 N. 16th Avenue Bldg. H Yakima, WA 98902
26d.2. John Deere Financial 8402 Excelsior Drive Madison, WI 53717
26d.3. Agri-Service/AGCO Finance 1620 E. James Street Pasco, WA 99301
27. Inventories Have any inventories of the debtor’s property been taken within 2 years before filing this case?
No Yes. Give the details about the two most recent inventories.
Name of the person who supervised the taking of the Date of inventory The dollar amount and basis (cost, market, inventory or other basis) of each inventory 27.1 Truman J. Thompson Monthly . (product inventory) Actual Cost
Name and address of the person who has possession of inventory records Truman J. Thompson 2000 Fort Simcoe Road White Swan, WA 98952
27.2 Truman J. Thompson October 2019 . (fixed assets) Depreciation Basis
Name and address of the person who has possession of inventory records Truman J. Thompson 2000 Fort Simcoe Road White Swan, WA 98952
27.3 Truman J. Thompson October 2018 . (fixed assets) Depreciation Basis
Name and address of the person who has possession of inventory records Truman J. Thompson 2000 Fort Simcoe Road White Swan, WA 98952
Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 10
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20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 64 of 82 Debtor King Mountain Tobacco Company, Inc. Case number (if known)
28. List the debtor’s officers, directors, managing members, general partners, members in control, controlling shareholders, or other people in control of the debtor at the time of the filing of this case.
Name Address Position and nature of any % of interest, if interest any Trina A. Wheeler PO Box 422 Owner/President 100% White Swan, WA 98952-0422
Name Address Position and nature of any % of interest, if interest any Truman Jay Thompson PO Box 422 CEO and Vice President White Swan, WA 98952-0422
Name Address Position and nature of any % of interest, if interest any Terryanna Blodgett PO Box 422 Secretary White Swan, WA 98952-0422
29. Within 1 year before the filing of this case, did the debtor have officers, directors, managing members, general partners, members in control of the debtor, or shareholders in control of the debtor who no longer hold these positions?
No Yes. Identify below.
30. Payments, distributions, or withdrawals credited or given to insiders Within 1 year before filing this case, did the debtor provide an insider with value in any form, including salary, other compensation, draws, bonuses, loans, credits on loans, stock redemptions, and options exercised?
No Yes. Identify below.
Name and address of recipient Amount of money or description and value of Dates Reason for property providing the value 30.1 Truman J. Thompson . PO Box 422 White Swan, WA 98952-0422 $165,000.00 July 28, 2020 Signing Bonuses
Relationship to debtor Vice President and CEO
31. Within 6 years before filing this case, has the debtor been a member of any consolidated group for tax purposes?
No Yes. Identify below.
Name of the parent corporation Employer Identification number of the parent corporation
32. Within 6 years before filing this case, has the debtor as an employer been responsible for contributing to a pension fund?
No Yes. Identify below.
Name of the pension fund Employer Identification number of the parent corporation
Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 11
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Part 14: Signature and Declaration
WARNING -- Bankruptcy fraud is a serious crime. Making a false statement, concealing property, or obtaining money or property by fraud in connection with a bankruptcy case can result in fines up to $500,000 or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571.
I have examined the information in this Statement of Financial Affairs and any attachments and have a reasonable belief that the information is true and correct.
I declare under penalty of perjury that the foregoing is true and correct.
Executed on September 25, 2020
/s/ Truman J. Thompson Truman J. Thompson Signature of individual signing on behalf of the debtor Printed name
Position or relationship to debtor Vice President and Chief Executive Officer
Are additional pages to Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy (Official Form 207) attached? No Yes
Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 12
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20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 66 of 82 B2030 (Form 2030) (12/15) United States Bankruptcy Court Eastern District of Washington In re King Mountain Tobacco Company, Inc. Case No. Debtor(s) Chapter 11
DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR(S)
1. Pursuant to 11 U .S.C. § 329(a) and Fed. Bankr. P. 2016(b), I certify that I am the attorney for the above named debtor(s) and that compensation paid to me within one year before the filing of the petition in bankruptcy, or agreed to be paid to me, for services rendered or to be rendered on behalf of the debtor(s) in contemplation of or in connection with the bankruptcy case is as follows: For legal services, I have agreed to accept $ 0.00 Prior to the filing of this statement I have received $ 0.00 Balance Due $ 0.00
2. The source of the compensation paid to me was: Debtor Other (specify):
3. The source of compensation to be paid to me is: Debtor Other (specify):
4. I have not agreed to share the above-disclosed compensation with any other person unless they are members and associates of my law firm.
I have agreed to share the above-disclosed compensation with a person or persons who are not members or associates of my law firm. A copy of the agreement, together with a list of the names of the people sharing in the compensation is attached.
5. In return for the above-disclosed fee, I have agreed to render legal service for all aspects of the bankruptcy case, including:
a. Analysis of the debtor's financial situation, and rendering advice to the debtor in determining whether to file a petition in bankruptcy; b. Preparation and filing of any petition, schedules, statement of affairs and plan which may be required; c. Representation of the debtor at the meeting of creditors and confirmation hearing, and any adjourned hearings thereof; d. [Other provisions as needed] Preparation of a plan and disclosure statement and negotiations with creditors regarding the same.
6. By agreement with the debtor(s), the above-disclosed fee does not include the following service:
CERTIFICATION I certify that the foregoing is a complete statement of any agreement or arrangement for payment to me for representation of the debtor(s) in this bankruptcy proceeding.
September 25, 2020 /s/ James L. Day Date James L. Day Signature of Attorney Bush Kornfeld LLP 601 Union St., Suite 5000 Seattle, WA 98101-2373 (206) 292-2110 Fax: (206) 292-2104 [email protected] Name of law firm
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20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 67 of 82 United States Bankruptcy Court Eastern District of Washington In re King Mountain Tobacco Company, Inc. Case No. Debtor(s) Chapter 11
LIST OF EQUITY SECURITY HOLDERS
Following is the list of the Debtor's equity security holders which is prepared in accordance with rule 1007(a)(3) for filing in this Chapter 11 Case
Name and last known address or place of Security Class Number of Securities Kind of Interest business of holder
Trina A. Wheeler sole 1,000 100% 1200 N. White Swan Road shareholder White Swan, WA 98952-0237
DECLARATION UNDER PENALTY OF PERJURY ON BEHALF OF CORPORATION OR PARTNERSHIP
I, the Vice President and Chief Executive Officer of the corporation named as the debtor in this case, declare under penalty of perjury that I have read the foregoing List of Equity Security Holders and that it is true and correct to the best of my information and belief.
Date September 25, 2020 Signature /s/ Truman J. Thompson Truman J. Thompson
Penalty for making a false statement of concealing property: Fine of up to $500,000 or imprisonment for up to 5 years or both. 18 U.S.C. §§ 152 and 3571.
Sheet 1 of 1 in List of Equity Security Holders Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 68 of 82 United States Bankruptcy Court Eastern District of Washington In re King Mountain Tobacco Company, Inc. Case No. Debtor(s) Chapter 11
VERIFICATION OF CREDITOR MATRIX
I, the Vice President and Chief Executive Officer of the corporation named as the debtor in this case, hereby verify that the attached list of creditors is true and correct to the best of my knowledge.
Date: September 25, 2020 /s/ Truman J. Thompson Truman J. Thompson/Vice President and Chief Executive Officer Signer/Title
Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 69 of 82 }bk1{Creditor AddressMatrix}bk{ King Mountain Tobacco Company, Inc. PO Box 422 White Swan, WA 98952-0422
James L. Day Bush Kornfeld LLP 601 Union St., Suite 5000 Seattle, WA 98101-2373
US Attorney Attn Bankruptcy Assistant 700 Stewart Street Room 5220 Seattle, WA 98101-4438
Internal Revenue Svc (Phil) Centalized Insol Operations PO Box 7346 Philadelphia, PA 19101-7346
Commodity Futures Trading 1155 21st St NW Washington, DC 20581
Securities & Exchange Comm Office of Reorganization 444 S Flower St. #900 Los Angeles, CA 90071
US Treasury Secretary of the Treasury 1500 Pennsylvania Ave NW Washington, DC 20220
WA Dept of Rev-SEA Bankruptcy/Claims Unit 2101 4th Ave #1400 Seattle, WA 98121-2300
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 70 of 82 WA Dept of L&I-OLY Collections PO Box 44171 Olympia, WA 98504-4171
WA Dept of Emp Sec-OLY UI Tax Admin PO Box 9046 Olympia, WA 98507-9046
WA Attorney General Bankruptcy & Collections Unit 800 5th Ave #2000 Seattle, WA 98104
Advanced Auto Parts 717 W 1st Street Wapato, WA 98951
Alliance One Specialty Prods., LLC PO Box 1929 Wilson, NC 27894-1929
Alliance One Specialty Prods., LLC 2305 Baldree Road Wilson, NC 27893-9518
Aramark Uniform Services PO Box 101179 Aus West Lockbox Pasadena, CA 91189-0005
Aramark Uniform Services 1101 Market Street Philadelphia, PA 19107
BIA/NIIMS 13922 Denver West Pkwy Lakewood, CO 80401
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 71 of 82 Burrows Tractor, Inc. Attn: Angie Deaton 1308 E. Mead Avenue Union Gap, WA 98903-3709
Cascade Valley Lube 2506 Main Street Union Gap, WA 98903
CBIT Attn: Justin Benoit PO Box 5277 Pasco, WA 99302-5201
Central Machinery Sales Inc. PO Box 1217 Moses Lake, WA 98837
Central Machinery Sales Inc. 1201 Yonezawa Blvd. Moses Lake, WA 98837
Cintas Corp. PO Box 650838 Dallas, TX 75265-0838
Cintas Corp. 6707 W. Sam Houston Pkwy. N. Houston, TX 77041
City of New York Attn: Michael A. Cardozo 100 Church St., Room 20-99 New York, NY 10007
Coastal Farm & Home Supply PO Box 99 Albany, OR 97321
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 72 of 82 Colorado Attorney General Office 1300 Broadway, 8th Floor Denver, CO 80202
Commercial Tire, Inc. PO Box 970 Meridian, ID 83680
Commercial Tire, Inc. 2095 E. Commercial Street Meridian, ID 83642
Deere Credit, Inc. 6400 NW 86th Street Johnston, IA 50131
Department of the Treasury Tobacco Tax & Trade Bureau 550 Main Street, Suite 8002 Cincinnati, OH 45202-5215
Englishman and Pannill, LLC 830 Oaklawn Drive Winston Salem, NC 27104
Fastenal PO Box 978 Winona, MN 55987
Fastenal 2001 Theurer Blvd. Winona, MN 55987
Grainger Inc. PO Box 419267 Kansas City, MO 64141-6267
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 73 of 82 Grease Heads Lube and Oil 310 South Elm Street Toppenish, WA 98948
Guardian Security 1743 First Avenue South Seattle, WA 98134
H.B. Fuller PO Box 842401 Boston, MA 02284-2401
H.B. Fuller 1200 Willow Lake Blvd. Saint Paul, MN 55164-0683
Heritage Bank PO Box 1578 Olympia, WA 98507
Heritage Bank 3615 Pacific Avenue Tacoma, WA 98418-7921
Husch & Husch, Inc. PO Box 160 Harrah, WA 98933
Idaho Attorney General's Office Consumer Protection Unit P.O. Box 83720 Boise, ID 83720-0010
Ideal Lumber & Hardware Inc PO Box 249 Toppenish, WA 98948
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 74 of 82 Internal Revenue Service P.O. Box 9941, Stop 6552 Ogden, UT 84409-0941
ITC Services 4172 N. Frontage Road E. Moses Lake, WA 98837
John Deere Financial PO Box 4450 Carol Stream, IL 60197-4450
Kentucky Attorney General's Office Tobacco Litigation State Capitol Room 116 Frankfort, KY 40601
Lad Irrigation Company P.O. Box 880 Moses Lake, WA 98837
Les Schwab Tire Center PO Box 9277 Yakima, WA 98909
Lincoln Financial Group Box 0821 Carol Stream, IL 60132-0821
Montana Attorney General's Office Dept. of Justice Tobacco Program P.O. Box 200151 Helena, MT 59620-0151
Mortons Supply Inc. 1724 S First St Yakima, WA 98901
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 75 of 82 Mutual of Omaha Inc. Attn: Elissa Stark PO Box 2147 Omaha, NE 68103-2147
NC Filter Corporation Attn: Bobby Johnson P.O. Box 498 Black Creek, NC 27813
NC Machinery Inc. PO Box 58201 Tukwila, WA 98138-1201
Nevada Attorney General's Office Attn: Tobacco Enforcement Unit 5420 Kietzke Lane, Suite 2020 Reno, NV 89511
New Mexico Atty General's Office P.O. Drawer 1508 Santa Fe, NM 87504-1508
North Carolina Atty Gen's Office Special Lit. Section-Tobacco Unit P.O. Box 629 Raleigh, NC 27602
North Dakota Atty General's Office 500 N. 9th Street Bismarck, ND 58501-4509
Oak Harbor Freight Lines, Inc. PO Box 1469 Auburn, WA 98071-1469
Oak Harbor Freight Lines, Inc. 1339 West Valley Hwy. N. Auburn, WA 98071-1469
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 76 of 82 Office Solutions Northwest Inc. PO Box 125 Yakima, WA 98907
Oregon Attorney General's Office Dept. of Justice-Tobacco Enforcemen 1162 Court Street NE Salem, OR 97301-4096
Pacific Power PO Box 26000 Portland, OR 97256-0001
Pepsi PO Box 111 Yakima, WA 98907
Pitney Bowes Monthly Fee PO Box 371887 Pittsburgh, PA 15250-7887
Premera Blue Cross PO. Box 6 Mukilteo, WA 09827-5006
QBSI-Xerox PO BOX 936793 Atlanta, GA 31193-6793
Rehn & Associates COBRA PO Box 5433 Spokane, WA 99205
Robert Reis 2000 Fort Simcoe Road White Swan, WA 98952-0422
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 77 of 82 Smoke-N-Gas 7453 Sunnyside Mabton Road Mabton, WA 98935
Stach Steel Supply 3070 Harrah Rd Harrah, WA 98933
State of California Office of the Attorney General 1300 "I" Street Sacramento, CA 95814-2919
State of Indiana Office of the Attorney General 302 W. Washington St., 5th Fl. Indianapolis, IN 46204
State of South Carolina Office of the Attorney General P.O. Box 11549 Columbia, SC 29211-1549
Sunnyside New Holland PO Box 1580 Sunnyside, WA 98944
Tacoma Screw Product, Inc. PO Box 35165 Seattle, WA 98124-5165
Trina A. Wheeler 2000 Fort Simcoe Road White Swan, WA 98952-0422
Truist Bank Attn: Susan Fairhurst 223 West Nash Street Wilson, NC 27894
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 78 of 82 Truman J. Thompson 2000 Fort Simcoe Road White Swan, WA 98952-0422
U.S. Dep't of Agriculture 2323 E. Bannister Rd. Kansas City, MO 64131
U.S. Food and Drug Administration P.O. Box 979107 Saint Louis, MO 63197-9000
U.S. Food and Drug Administration 645 S. Newstead Ave. Saint Louis, MO 63110
Valley Septic Service PO Box 10115 Yakima, WA 98909-1115
Verizon Wireless PO Box 660108 Dallas, TX 75266-0108
Virginia Attorney General's Office 2020 North 9th Street Richmond, VA 23219
Vision Service Plan-(WA) Box 742430 Los Angeles, CA 90074-2430
W. W. Grainger, Inc. 100 Grainger Parkway Lake Forest, IL 60045
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 79 of 82 WA Attorney General's Office P.O. Box 40123 Olympia, WA 98504-0123
Washington Tractor 2700 136th Ave. Ct E Sumner, WA 98390
Wheeler Kountry Korner 2421 W. Wapato Rd. Wapato, WA 98951
Wheeler Rock Products Attn: Missy Bergevin PO Box 99 Wapato, WA 98951
Yakama Nation PO Box 151 Toppenish, WA 98948
Yakama Nation Land Enterprise 282 Buster Road Toppenish, WA 98948
Yakama Nation Land Enterprise PO Box 151 Toppenish, WA 98948
Yakama Power PO Box 1610 Toppenish, WA 98948
Yakima CDJR 2300 Goodman Rd Union Gap, WA 98903
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 80 of 82 Yakima Cooperative Inc. 501 S Front St Yakima, WA 98901
Yakima Implement & Irrigation, Inc. 1922 So. 1st Street Yakima, WA 98903
Yakima Steel Fabricators 6 E Washington Ave Yakima, WA 98903
Yakima Valley Transportation LLC 301 South 12th Avenue Yakima, WA 98902
Yakima Waste Systems Inc. PO Box 7428 Pasadena, CA 91109-7428
20-01808-WLH11 Doc 1 Filed 09/25/20 Entered 09/25/20 16:56:39 Pg 81 of 82 United States Bankruptcy Court Eastern District of Washington In re King Mountain Tobacco Company, Inc. Case No. Debtor(s) Chapter 11
CORPORATE OWNERSHIP STATEMENT (RULE 7007.1)
Pursuant to Federal Rule of Bankruptcy Procedure 7007.1 and to enable the Judges to evaluate possible disqualification or recusal, the undersigned counsel for King Mountain Tobacco Company, Inc. in the above captioned action, certifies that the following is a (are) corporation(s), other than the debtor or a governmental unit, that directly or indirectly own(s) 10% or more of any class of the corporation's(s') equity interests, or states that there are no entities to report under FRBP 7007.1:
None [Check if applicable]
September 25, 2020 /s/ James L. Day Date James L. Day Signature of Attorney or Litigant Counsel for King Mountain Tobacco Company, Inc. Bush Kornfeld LLP 601 Union St., Suite 5000 Seattle, WA 98101-2373 (206) 292-2110 Fax:(206) 292-2104 [email protected]
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